HomeMy WebLinkAboutSeptic New 59 Ash Road FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date
I hereby apply for permit to build a sewage disposal system for a
(Resi(:ence , boarding house , hotel , etc.)
Owned by rx/C'0 of
And located at C, / 9-9
To be built by Cr , S Q u T/ /1/ of w/I /1/ l)
oak
13 � o � 1�
in accordance with detailed information stated below D /.3
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Signed .. Z<
(Applicant) 6
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
I. Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets . Urinals Lavatories
Bath tubs 4? Showers o Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures a
3. Water Supply q/ )�_7 /_ t Kind of Well iq T-r
(Public, well , spring, cistern)
Location of well and underground water piping `�
Method of obtaining or storing supply (� V^ !!4 A171, tA N k
(Pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata d A & LQ P /IN
(sand, loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water -7Z.44
(with referen to both present & future grade)
a A t a
s ti t q
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 � ;7soe.ICOAaA
Dimensions Capacity below flow lie �RR-ac
Inlet and outlet arrangementsvv
Facilities for cleaning `-AdoJ r Distance from dwellings on same
+property %4 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 A0 ft.
Width of trenches .. ft. , depth of broken stone or screened gravel t.
Stone or gravel will be covered by P/, Distance between
(tar paper, salt hay)
trenches ft. Distance from water supply on same property
on adjoining property ) J"'
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by /` rO`7ii.�(�1r:
� ` A
Above information furnished by
No discharge of sewage or sewage effluent into any watercourse should be permitted
without approval of the State Department of Health and State Water Commission.
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