HomeMy WebLinkAbout1962-7-11 - 133 Miller Road - Septic ApplicationI hereby apply for permit to build a sewage disposal system for a
,C’?/f 'x‘
(Residence ,boarding house ,hotel ,etc.)
Owned by f/gwWi any ,a/€/?/"7/f/0 I‘L/Of /:r
(5&44'f/r‘a x9 ci
,And located at/33 ['7/Mary [PJ‘
To be built by J90 fig/Rf Ifd ¢7}}J of De 4f f/’1"1%
in accordance with detailed information stated below.
Signed //(Applicant)
GENERAL INFORMATION
I.Estimated population of premises (present)K3 (future)x3
2.Description of premises (including number of bedrooms)K?
No .Fixtures L(Above basement):Water Closets g Urinals avatories 2.
Bath tubs Z Showers Kitchen Sinks g Laundry Tubs
Location of well and underground water piping kwg M f a F «a f/E-
Method of obtaining or storing supply 73 w J‘V]p .
(Pumps ,tank ,etc.)
4.Character of soil at proposed location of leaching system,including depths of
various strata 4/a in f?Jr.)3'Jb _./(fi’y‘d /?¢s ‘c/i"
(sand:loam ,'clay ,hardpan ,rock ,etc.—-Use test,pits .)
5.Elevation of highest ground water A/v‘JIM if
(with reference to both present &future grade)
V (if/,7 2 ,Jii i II /[a //V‘1«;k/3 A/J J1»K.\j/é:L—
W {)Z/gaiv "7 b
FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date i'////4 '1,
Garbage Grinder w'“List basement fixtures W4d‘é;xw7 I l"?%("/¥//r"r'
3.Water Supply yd a //Kind of Well Am 7 .
(Public ,well ,spring ,cistern)
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 iy‘fix f f;-Capacity below flow line 9'a”?
Inlet and outlet arrangements U'rl‘dé ”v ,(Ei‘,
Facilities for cleaning f24/wél-H5 Distance from dwellings on same
property /o‘,on adjoining property l'é
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 gs;z)ft.
Width of trenches g ft.,depth of broken stone or screened gravel x 3/ft.
Stone or gravel will be covered by a,L/f/p2w [far fmygq .Distance between(tar paper,salt hay)trenches a:ft.Distance from water supply on same property 7&3”(air
W ;on adjoining property 7Jr /’7‘“
Secondary Treatment,if other than soil absorption.
Describe in detail and locate on map
System was designed byMx (7%“.¢/é-
Above information furnished by Q‘jgzLA (27??g4 £5 z.dwéw
No discharge of sewage or sewage effluent into any watercourse should be permittedwithoutapprovaloftheStateDepartmentofHealthandStateWaterCommission.