HomeMy WebLinkAboutSeptic New 194 Dogwood Lane 9'/ —100 g wa 0 J -1,-a"t -c- . . 1; &4 0
FEE
TO THE BUILDING DEPARTMENT Application No. �Q
TOWN OF SOUTH WINDSOR Date Ae4v 114 lfzgL
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house , hotel , etc.)
Owned by of -t 1_1 10C
And located at
To be built by_Zk F, of
in accordance with detailed information stated below:
0
Signed
Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) 0 (future) 1-/
2. Description of premises (including number of bedrooms) e
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No. Fixtures
(Above basement): Water Closets_ (�9, Urinals Lavatories a
Bath tubs / Showers Kitchen Sinks_ aundry Tubs
Garbage Grinder— List basement fixtures
3. Water Supply We // Kind of Well C
(Public, well , spring , cistern)
Location of well and underground water piping f e ��� e �Tra.�s 1 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 'S Y v 1
(sand.. loam, cla , hard an 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 'X g a.X 6® Capacity below flow line q D® CS 3 I,
� Inlet and outlet arrangements r,il Coy A/Cy-& Ot-16 -let yJ" below i til eL
Facilities for cleaning_3 CoUCY.S Distance from dwellings on same
property M i BI 101 on adjoining property
Automatic Dosing Apparatus , if any (describe)
Soil Absorption System
If cesspools , No. diameter ft.; depth below inlet ft.
ISo
If tile field or leaching trenches , total length is J3rV ft.
Width of trenches_ 0 ft. , depth of broken stone or screened gravel � , 3" ft.
Stone or gravel will be covered by -ray iapev- . Distance between
(tar Page , salt hay)
trenches Mid, 10 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 F, 14-% J n 1
Above information furnished by -D) _ 112 t'
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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