HomeMy WebLinkAboutSeptic New 310 Diane Drive r M ,
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FEE
TO THE BUILDING DEPARTMENT Application No. �
TOWN OF SOUTH WINDSOR Date��[� , e- �g
I hereby apply for permit to build a sewage disposal system for a
Re 'r
Residence , boarding house , hotel , etc.)
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Owned by of
Ste,
And located at 2�
To be built by of
in accordance with detailed informatioft stated below.
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Signed
,,�� OrJ &e_z�
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future) 5
2. Description of premises (including number of bedrooms) e .e c
No. Fixtures
(Above basement): Water Closets 12— Urinals Lavatories
Bath tubs___'� Showers-_ Z _Kitchen Sinks__ _Laundry Tubs
Garbage Grinder List basement fixtures c .L �ya ,
3. Water Supply l Kind of Well
(Publ' , 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 r� v
(sand, loam, clay, hardpan, rock , etc. --Use test-pits.) -- - -
5. Elevation of highest groundwater �, / L
(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" s" u —
Inlet and outlet arrangements Ati(�
Facilities for cleaning Distance from dwellings on same
property /®�_/1rrcyc, on adjoining property AQ '
1 _
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 /G/' ft.
Width of trenches Z ft. , depth of broken stone or screened gravel /6`. ft.
Stone or gravel will be covered by Distance between
(tar 6ap,6r, salt hay)
trenches ft. Distance from water supply on same property �e�
; on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
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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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