HomeMy WebLinkAboutSeptic New 54 Elizabeth Street 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 l
(Residence, boarding house, hotel , etc.) `
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Owned byzf���Z&aub:_Y L S7h►7 of /`1fs7iG Go�r/ic/
And located at C—X � ,�. / — �G/Z��,�L�f� mil• `��
To be built
in accordance with detailed information stated below
Signed
(Applicant)
. . . . . . . . . . . . . . .
GENERAL INFORMATION
I . Estimated population of premises (present)/,e5?aA!/L3" (future),/
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs�_Showers Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures ziVAIP/9'k f/il� l'Glit.(l'
3. Water Supply w�G�G - 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
(sand, loam, clay , hardpan, 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 1/ Capacity below flow line
Inlet and outlet arrangements 4���!i T'
Facilities for cleaning/AVA1IVG1!�' Distance from dwellings on same
property fb� 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.4t� ft.
Width of trenches 12 1 ft. , depth of broken stone or screened gravel ft.
Stone or gravel will be covered by_22&!O Distance between
(tar paper, salt hay)
trenches ft. Distance from water supply on same property
on adjoining property �; d
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 age effluent into any watercourse should be permitted
without approval of the State Department of Health and State Water Commission.
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PRIMUS 6 WELTI ENGINEERS
Glastonbury, Conn.
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FOUNDATION CHECKED At
DAtE � �`�/� .- SCAL! CERTIFIED SUNSTANTIALLY CORRECT
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