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HomeMy WebLinkAboutSeptic New 39 Elizabeth Street FEE TO THE BUILDING DEPARTMENT Application No. 6L TOWN OF SOUTH WINDSOR Date w -11-6 I✓ I hereby apply for permit to build a sewage disposal system for a �� /f'67< /40'E7N'C 1 (Residence , boarding house , hotel , etc.) 411 Owned by RZ6WETr A17- A/&ZE.Y�ST/�7'c of /'7yXT%G • GoN�. And located at To be built bySO.tV//14tSOgr aag2g 'j`iawv of /4 in accordance with detailed information stated below Signed ` (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION l . Estimated population of premises (present)//oo /VV&`(future) 2. Description of premises (including number of bedrooms) 3 AeEOR0QA1S No. Fixtures (Above basement): Water Closets oZ Urinals Lavatories v� Bath tubs- _Showers Kitchen Sinks Laundry Tubs Garbage Grinder List basement fixtures z,2!/A 499 COi✓/�FGTIO�S 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 proposedlocation of leaching system, including depths of various strata / 4h-P (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 ~ Capacity below flow line�0 ��jZ.6D1/,r Inlet and outlet arrangements4OBEWLF //VLb"T T d yTLF T Facilities for cleaningA/e/V/Yd G Distance from dwellings on same property �� on adjoining property �0 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 trench esa'/ ft. , depth of broken stone or screened gravel ��� ft. viy�r0yc� Stone or gravel will be covered by_5- /��jy Distance between 11 (tar paper, salt hay) trenches "?/ ft. Distance from water supply on same property on adjoining property 510 / Secondary Treatment, if other than soil absorption. Describe in detail and locate on map System was designed by t///IJ Ojg1eX7, (JC 776/() Above information furnished by No discharge of sewage or wage effluent into any watercourse should be permitted without approval of the State Department of Health and State Water Commission. '1 . w A- tO p X k o TO /'a 9P O • b s t A, 6tk n v�sr� 54 yr l; r+wl4�_i7swM!' : '• - r - 1 S i `et ti Wilk hie, 11c � �► E Q q4 a, v LET a Ica Zc XO n� r `. TO '. FOU�IOAT�©fF GN KEO • No �s�lst�UTtALLy Camss�a� 3