HomeMy WebLinkAboutSeptic New 62 Elizabeth Street ! 1
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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 , hotel , etc.)
Owned by, °��-&2Z2i✓T E377-1-7,7'5 of �5?P&Z2�
And located at-IoZ: -71-1 5? IV15�0
To be built by496///V of �i S-7 ,6fTT
in accordance with detailed information stated below.
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present)/ , !iLy (future) Sf9i`!e�
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets Z. Urinals Lavatories Z
Bath tubs- _Showers Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures �s/ �� co/Li��cr/G�rs
3. Water Supply 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/ /it/E is S S�f!/� 7`® ! 12&�
sand, loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water
(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 /-5�00
Inlet and outlet arrangements_
Facilities for cleaningO"PIP /3U1,40 Distance from dwellings on same
property AIIIVletl0'44 on adjoining property -:M
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,;t? ft.
Width of trenches—.g _ft. , depth of broken stone or screened gravel ft.
Stone or gravel will be covered by Distance between
i (tar paper, salt hay)
trenches6a ft. Distance from water supply on same property
on adjoining property
Secondary Treatment, if other than soil absorptio
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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