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HomeMy WebLinkAboutSeptic New 00 Dogwood Lane FEE TO THE BUILDING DEPARTMENT Application No._ �/ TOWN OF SOUTH WINDSOR Date I hereby apply for permit to build a sewage disposal syst for a 1t&.c /We V,c e (Residence , boarding house , hotel, etc.) )QO/ d Sp 0M.-r 4 Owned by f - of i . 1^ ., o l r^y at And located at - ; 4zE--& 1 L( l - ,, To be built by _---D' . F of -�c'e 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) � e- j0 � No. Fixtures (Above basement): Water Closets Urinals Lavatories Bath tubs I —Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder List basement fixtures 3. Water Supply Kind of Well C © �^'i t �/ (Public, well, spring, cistern) T Location of well and underground water piping =e­ �-A i. e c i f Method of obtaining or storing supply (Pumps , tank, etc.) 4. Character of soil at proposed location of leaching system, including depths of various strata -5a InV rock, etc. --Use test pits.) 5. Elevation of highest ground water (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 Dimensions q tX $ ' x Capacity below flow line 9 ®O d a l { �P Inlet and outlet arrangements d !l C Qy Pyc'vS . (Zi,� + �� � `� b e �ow i N kl Facilities for cleaning Y Distance from dwellings on same � . S property I., on adjoining property Automatic Dosing Apparatus , if any (describe) Soil Absorption System If cesspools , No. diameter ft.; depth below inlet ft. /SO If tile field or leaching trenches , total length is ft. �l6to Width of trenches :;T- ft. , depth of broken stone or screened gravel %l.31" ft. Stone or gravel will be covered by v Distance between (tar pape , alt hay) trenches /0 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 _72 E HA 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. f-( o se fi*NE KNo 14 tl hod wood �-av�E. J 1of #90 M N may, Sept Ta K you 1c qo hod wood lip Nr Jt 10 $� po5w d Ta' 1( . wk auk - . e�ox x q0 �a� l955" o moo ` k { 'kiV r- 4 r