HomeMy WebLinkAboutSeptic New 34 Charing Road FEE
TO THE BUIUDING DEPARTMENT Application No. �
TOWN OF SOUTH WINDSOR Date 6 —/ / .
I hereby apply for permit to build a sewage disposal system for a
(R ese e , boarding house , hotel , etc.)
Owned by
And located at
To be built by'r, )V, , _ of '
in accordance with detailed information stated below.
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
I . Estimated population of premises (present) L,� (future)
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets_&Zl,� Urinals Lavatories
Bath tubs- &:X.Z _Showers Kitchen Sinks_ -yz- Laundry Tubs
Garbage Grinder List basement fixture
3. Water Supply Kind of Well
(Pu lic, well , spring, cistern)
Location of well and underground water piping
C
Method of obtaining or storing supply
(Pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata KbOk
(sand, oam, ay ,_ hardpan-, rock, etc. --Use test pits.-)
5. Elevation of highest ground water
(with reference to both present & future grade)
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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 Capacity below flow line 664
Inlet and outlet arrangements OA14
Facilities for cleaning " Z CO'JeRT - Distance from dwellings on same
property l7 � on adjoining property 7✓r`
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 ft.
Width of trenches 36 ft. , depth- bf broken stone or screened gravel ft.
"Stdnd.'or gravel will be covered by__ Distance between
("w paper, salt_ hay) �
trenches /lJ' 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--_7
System was designed by-
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Above information furnished bye,%
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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PROPERTY O1� ,
N0. CHALRING ROAD SOUTH VINDSORp CONN.
Beio.X .Lat .No, 16 on mar entitled "Whilshire Woods Section xI
S"di.yision Map Prepared for Ross Hahn South Windsor, Conn.
g ` Jahn J. . Mpxzooki & kesoci4tes . Scale 10 409 10-25-60"
401
HAIEN L. GRISWOLD O .E.
t hereby ON* this map to be � � r� s•
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sabstantiaNy..'corW and tit
tA1►11att0ns are vi*ted- 41
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