HomeMy WebLinkAboutSeptic New 305 Diane Drive FEE �Ped
TO THE BUILDING DEPARTMENT Application No. �-�'
TOWN OF SOUTH WINDSOR Date 7—lZ-4.?
I hereby apply for permit to build a sewage disposal system for a
r
,,,.,,(RseSid ence, boarding house, hotel , etc.)
Owned by
305.
And located at (�/ ,1 A a,,, �>
To be built by of
in accordance with detailed information stated below.
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms) y~�
Zz te_ k e in 6j A
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs _Showers Kitchen Sinks, Laundry Tubs
Garbage Grinder �p� yl. List basement fixtures i, -1 4;,
3. Water Supply Kind of Well
(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 U
_(San , loam, clay i hard-pan, rock-, etc. --Use test pits.)
5. Elevation of highest ground water +'
Kirtl 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 Capacity below flow line I.A16 f -F y"f7
Inlet and outlet arrangements
Facilities for cleaning / ram- Distance from dwellings on same
property 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 /..::�-a' ft.
Width of trenches Z ft. , depth of broken stone or screened gravel ft.
Stone or gravel will be covered by y -c- Distance between
11 (tar p0pe , salt hay) ,
trenches a wce44- 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
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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