HomeMy WebLinkAboutSeptic New 78 Elizabeth Street FEE
TO THE BUILDING DEPARTMENT Application No. �
TOWN OF SOUTH WINDSOR Date 4�4 `,
I hereby ap ly for permit to build a Sewage disposal system for a
67
t (Residence , boarding house , hotel , etc.)
Owned b� �G�J7� /l'�fJlG�y C!J1 ,elof
And located at
To be built by
in accordance with detailed information stated below
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
I . Estimated population of premises (present) 1,Xi-Me
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 ��/��'`7Q/Lo �`' T/d/�-J"
3. Water Supply / GlG 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
T
Dimensions_ Capacity below flow line 9CD 40404
Inlet and outlet arrangements,���lL-/"�(/ 7— d�coP-41l�
Facilities for cleanin92YAWZ1&-- Distance from dwellings on same
property J 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 A ft.
Width of trenches o?i Z ft. , depth of broken stone or screened gravel / ft.
Stone or gravel will be covered by Distance between
(tar paper, salt hay) �6
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
System was designed by 41111
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 & WEL'T'I ENGINEIERS
Glastonbury, Conn.
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