HomeMy WebLinkAboutSeptic New 25 Doria Lane FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house , h el , etc.)
,Owned by
,OR 4F T.
And located at
To be built by T (i of Pill/y D S
T T
in accordance with detailed information stated below.
Signe
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bathtubs Showers Kitchen Sinks ( Laundry Tubs
Garbage Grinder List basement fixtures AJk /l.3�cn/
3. Water Supply Kind of Well
(Public, well, spring, cistern) —T—`—
Location of well and underground water piping
Method of obtaining or storing supply 0 /k V- tA Al
-
Pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata 1. A 1) /0 AN
(sand; loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water
(with referen;;001b both present & future grade)
Description of proposed system (Furnish drawings of same, with plot plan showing
r system includinglocation, size ,, grade and material of house sewer and locations
of ground or surface water drains , wells and bodies of surface water.)
Septic Tank Z
Dimensions Capacity below flow lin Qao�
1
Inlet and outlet arrangements
Facilities for cleaning / 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 ft.
Width of trenches 21 ft. , depth of broken stone or screened gravel t.
Stone_ or gravel will be covered by Distance between
(tar paper, salt hay) �-
trenches_ 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 E-t
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.
OAS iqs ��
AUK
ZIP 7' 23
32
ANA_
76,
I I.
I
Ci Iw Iw � I� I I I
..,�. .. w
� _ - �.
,
- PROPERTY QF
CARLO PRESTILED
SOUTH WINDSOR. COIN,
Scale t "-4C ' tApr. 29,1963
Not4 ;
There are no violations of
the zoning ordinances.
1
•
r
3' .
f
3
�¢ tip✓{N c _i r a - _
t
't
I WEREBY CERTr Y THAT TNIS W
f;USSTANTIAU.Y CORRECT
}
M �u
I
To help locate your sewer connection on-the main line, please show
where you would like the connection by drawing a line from the house or
the septic tank to the main line in the street. Also, install stake in yard
to indicate line as shown on sketch. IPyouu have any doubt please contact
the Town Engineering Department.
Please draw important information such as driveways, 'Large trees
and other obstructions.
PLEASE MAIL THIS FORM IMMEDIATELY TO:
JAMES S. MINGES & ASSOC. , INC.
The Exchange , -
Farmington Avenue
Farmington, Connecticut 06032
YOV. zi
AA
- /C l/7
ti R
,.
t
I