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HomeMy WebLinkAbout1962-5-22 - 200 Laurel Street - Septic Application.M/ //FEE TO THE BUILDING DEPARTMENT Application No. TOWN OF SOUTH WINDSOR Date y/gff §£,/.bkray I hereby apply for permit to build a sewage disposal system for a RES/0&7JCL: (Residence ,boarding house ,hotel,etc.) Ownedby W.7’.Z/Ch/a of 0200 W J’T‘(L¢+49) And located at &U77‘f q/ow/k Qmrk day /7é¢c>\Ca“ 1n accordance With detailed 1nformation stated below Igned TMNW‘(Appllcant To be built b y GENERAL INFORMATION I.Estimated population of premises (present)4 (future) 2.Description of premises (including number of bedrooms) No.Fixtures (Above basement):Water Closets ‘Urinals Lavatories Q i Bath tubs Z‘Showers g Kitchen Sinks g Laundry Tubs» Garbage Grinder List basement fixtures v /3 .Water Supply (/UEIL Kind of Well /./u /”7 ‘ (Public,Well,spring,cistern) Location of well and underground water piping Method of obtaining or storing supply (Pumps ,tank ,etc.) 4.Character of soil at proposed location of leaching system,including depths of various strata #Aaow iii? (sand loam clay mardpan rock etc —-Use test pits ) 5.Elevation of highest ground water NOAH: (with reference to both present &future grade) 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 200 Capacity below flow line Inlet and outlet arrangements Facilities for cleaning (/cNWQ/tv Distance from dwellings on same property V ,on adjoining property Automatic Dosing Apparatus ,if any (describe) Soil Absorption System If cesspools ,No.;diameter ft.;depth below inlet ft. If tile field or leaching trenches ,total length is g 8 S\ft. i )/Width of trenches 311 ft.,depth of broken stone or screened gravel A?ft. Stone or gravel will be covered by 74/;4 U/.Distance between(tar paper,salt hay).ftrenchesG ft.Distance from water supply on same property ;on adjoining property Secondary Treatment ,if other than soil absorption. Describe in detail and locate on map System was designed by WL gs.C$\%?9T A />/ Above information furnished by //Q1Q ‘f‘V i/v..(xi/ No discharge of sewage or sewage effluent into any watercourse should be permittedwithoutapprovaloftheStateDepartmentofHealthandStateWaterCommission. Lt ..M oLoorfAa3"!"36.JDevelneryigii‘LiAm P kw S ‘l.a .. ’‘‘-ng o 5a é§owmdn hntitmd Fap ofimhAwD‘wrv Street $uth a'imisrés {Sarah p Prepety o mliaiE