HomeMy WebLinkAbout1962-6-20 - 102 Hillside Drive - Septic ApplicationI hereby apply for permit to build a sewage disposal system for a
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(Residence Vboardingdiouse ,thetelr%etc.)
Owned by W1!z‘Ii of
And located
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at laZ.a ‘7‘v 4"!3 é
To be built by 7(A '-"of i j,I”:'é//[L5-
in accordance with detailed information stated below.
Signed y ‘/':‘//‘’/,‘\VII.
(Applicant)
..............................\...........
GENERAL INFORMATION
”t”a m1.Estimated p%§€létibb bf premises (present)a (future)
2.Description of premises (including number of bedrooms)3
Garbage Grinder List basement fixtures (f)7"4 '
)
3.Water Supply s»?a 'Kind of Wen
(Public,well spring ,cistern)
Location of well and underground water piping X4}‘l {A ‘
Method of obtaining or storing supply \./(/(i {JLL '
(Pumps ,tank ,etc.)
4.Character of soil at proposed location of leaching system,including depths of
(with reference to both present &future grade)
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FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date é a 2:6"'6 L}.
No.Fixtures
(Above basement):Water Closets 3 Urinals Lavatories
Bath tubs l Showers Kitchen Sinks Laundry Tubs
various strata
(sand,loam,clay ,hardpan,rock ,etc.—-Use test pits.)
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5.Elevation of highest ground water v y’a
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
C/M’:C2DimensionsCapacitybelowflowline
(/7?Inlet and outlet arrangements ‘1 4m
Facilities for cleaning '1’Distance from dwellings on same
property /s*~;<’
i’l ,on adjoining property vK ‘st V
a,“.X“;<mm.‘‘a l!"S.
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Automatic Dosing Apparatus ,if any (describe)
Soil Abs orption System
If cesspools ,No.;diameter ft.;depth below inlet ft.
If tile field or leaching trenches ,total length is ”is;ft.
Width of trenches \ft.,depth of broken stone or screened gravel ‘55 ft.
Stone or gravel will be covered by Kin»'.Distance between
i (*9 Eggsr’a.gsalt hay)‘trenches ft.Distance from water supply on same property'7%{4 in:MW”‘uHa,U x.;on adjoining property
Secondary Treatment,if other than soil absorption.
Describe in detail and locate on map "J/w’xil
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f”r X',sSystemwasdesignedby‘5;
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Above information furnished by r ”2"
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No discharge of sewage or sewage effluent into anylwatercourse should be permittedWithoutapprovaloftheStateDepartmentofHealthandStateWaterCommission.
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