HomeMy WebLinkAbout1962-9-21 - 23 High Street - Septic ApplicationI hereby apply for permit to build a sewage disposal system for a
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(Residence ,boarding house ,hotel ,etc.)
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DI.LL l u l/And located lat;f 73 K g A .u 4 my J’/’[I 2 é <.3 23 A/[GAI S7£ssr
TO be built bW/l/J k)/f-V/w $/'Of ol>//[‘6’f /</,D §‘é”\>
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in accordance with detailed information stated below ')
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Method of obtaining or storing supply
(Pumps ,tank ,etc.)
4.Character of soil at proposed location of leaching system,including depths of
various strata sFH /v 12
(sand,loam,clay ,hardpan ,rock ,etc.--Use test pits .)
5.Elevation of highest ground water C7 (7 f
(with reference to both present &future grade)
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TO THE BUILDING DEPARTMENT Application No.Vi/1 F
TOWN OF SOUTH WINDSOR Date an”.1 /‘./¢€;;.I
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GENERAL INFORMATION
1 .Estimated population of premises (present)(Z?l (future)
2.Description of premises (including number of bedrooms)G ,yfz a J2 5.7"».y?”M-v/
No.Fixtures
(Above basement):Water Closets /Urinals J x)Lavatories /
No.Fixtures
(Above basement):Water Closets /Urinals J x)Lavatories /
Bath tubs I Showers l Kitchen Sinks (Laundry Tubs c ’3
Garbage Grinder (1/)List basement fixtures
3 .Water Supply I?L“ix?r./4 Kind of Well
(Public,well ,spring ,cistern)
Location of well and underground water piping
Description of proposed system (Furnish drawings of same ,with plot plan showing
system including location,size ,grade and material of house sewer and locations
of ground or surface water drains ,wells and bodies of surface water.)
Septic Tank
Dimensions apacity below flow line /"2/r w 4'C
Inlet and outlet arrangements é .4 F/ré;4 _s‘
Facilities for cleaning (”I’istance from dwellings on same
property ',/'/‘?",4/,Lot .,on adjoining property if}:W /
Automatic Dosing Apparatus ,if any (describe),r‘L 1",Jr'‘1';
Soil Absorption System
If cesspools ,No.r ;diameter r ft.;depth below inlet r”ft.
If tile field or leaching trenches ,total length is 92m):ft.
Width of trenches Z f ft.,depth of broken stone or screened gravel /6 I/ft.
Stone or gravel will be covered by %.Distance between
I“a (tar paper ,salt hay)trenches /m¢44.-ft.Distance from water supply on same property"Ub/f o ;on adjoining propertyl
Secondary Treatment,if other than soil absorption.
Describe in detail and locate on map ?/€77l 7//?/Vv
System was designed by I
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Above information furnished b Y r )w1
No discharge of sewage or sewage effluent into a watercourse should be permittedwithoutapprovaloftheStateDepartmentofHealthandStateWaterCommission.
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