HomeMy WebLinkAboutSeptic New 31 Elizabeth Street FEE Q
TO THE BUILDING DEPARTMENT Application No. t24
TOWN OF SOUTH WINDSOR Date G-//
I hereby apply for permit to build a sewage disposal system for a
(Residence boarding house , hotel , etc.)
Owned by of MftTIG cdoow�-
And located at 110T ��3 �L/Z,�f�E'Tiy ST,' `SO N//�AL 327 GDitLtl
To be built bySO. WiA.Pxc*r 471VX7W of
in accordance with detailed information stated below
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated,population of premises (present) L (futures I ELT
2. Description of premises (including number of bedrooms)
40iUi;t9L
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs- Showers Kitchen Sinks�_Laundry Tubs
Garbage Grinder List basement fixtures LWNle.eit//✓ECT/U
3. Water Supply Zf(/ 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.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 I
Dimensions Capacity below flow line
Inlet and outlet arrangements,&!g
Facilities for cleaning /'7i9/✓fIOL49 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 �6ft.
Width of trenches 2 /z. ft. , depth of broken stone or screened gravel �� ft.
Stone or gravel will be covered by t— Distance between
(tar paper.,,,'salt iay)
trenches 7 ft. Distance from water supply on same property
�i on adjoining property
Secondary Treatment, if other than soil absorption.
r
Describe in detail and locate on map
System was designed by_422LIMI
Above information furnished by
No discharge of sewage or se ge effluent into any watercourse should be permitted
without approval of the Stat apartment of Health and State Water Commission.
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