HomeMy WebLinkAboutSeptic New 271 Avery Street 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
R�� P c1;-*/'
5t / 62��
(Residence , boarding house , hotel , etc
Owned by J?eerie eyr%f yy
And located at T ,e P fr�,, Z
To be built by Grz2/Lawf`h of�//
in accordance with detailed information stated below.
SignedF`u`_6&7 .
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future) �l
2. Description of premises (including number of bedrooms) �e��ocu►zS
No. Fixtures
(Above basement): Water Closets_ z_Urinals Lavatories /
Bath tubs_ Showers�_Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply 14 & l Kind of Well
(Public, well , spring, cistern
Location of well and underground water piping
Method of obtaining or storing supply �� C9-rZ/- �'G�i 0
(Pumps , tank , etc.)
4. Character of soil at proposed location of (leaching system, including depths of
various strata :'7 W CZ U
(sand,-loam- clay-, hardpan; ock, etc. ---Use test pits.-)
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5. Elevation of highest ground water ) — /6
(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 '�7
®oO �
Dimensions Capacity below flow line � •
Inlet and outlet arrangements
Facilities for cleaninqeA/� ', /CaOeI Distance from dwellings on same
property /4��yylj;,/, on adjoining property lea
Automatic Dosing Apparatus , if any (describe)
S- i�Absorption System
If tile field or leaching trenches , total length is ��'�x% ft.
Width of trenches-2- ft. , depth of broken stone or screened gravel ft
Stone or gravel will be covered by Distance between
paper, salt hay)
trenches ft. Distance from water supply on same property /,W-Al•
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on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System w / f
y em as designed by'� �f� UC
Above information furnished b
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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