HomeMy WebLinkAboutSeptic New 46 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
(Res/id�ence , boarding house, hotel , etc.)
Owned by�G� ��� �����:C/ �. � of
And located at LC/
To be built byXQ3//f/]/p of e2z�z ���
in accordance with detailed information stated below.
n
Signed -R.,
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) lyW1111 ` (future) /i�fJMrLS�
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets Urinals Lavatories L-
Bath tubs-_Showers Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply �� �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-f-�2�X/Q-:o- Capacity below flow line AW `MM",iU,s
Inlet and outlet arrangements �%G�
Facilities for cleaninghwA&I-EDs Distance from dwellings on same
/�I rrt/l/
property /,��/�'�//�/?��/r'� on adjoining property � � lov �
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 isZ`��ft.
s
Width of trenches ft. , depth of broken stone or screened gravel ft.
Stone or gravel will be covered by Distance between
(tar paper, salt hay)
trenches l ft. Distance from water supply on same property
on adjoining property
7 `
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
s . f/
System was designed by(��/��
m
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.
PRIMUS & WELTI ENGINEERS
Glostonbury, Conn.
r �^.3 c? r.• 7' I
P E
ty \
,91kb w f
{
W
f:
... . .. . ....
f '
.. s 4
FOUNDATION CHECKED
DATE SCALES/.a'__ CC U.__ CERTIFIEDSUOSTANTIALLV CORRECT
SIGNED DATE f s. .i io SIQNtD �°"�, G Y; a ✓'
� � 4
r .. �r
.i
f
I
'r
i