HomeMy WebLinkAboutSeptic New 14 Elizabeth Street FEE iY
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date (p 11—w"2—
I hereby apply for permit to build a sewage disposal tsystem for a
� �0/c�
(Residence , boarding house, hotel, etc.)
Owned byA"_r Yam° !/��G-`� �� of /l1$-J"'T/1C cOotAJ
And located at /
To be built bys� �� CO/✓rTIlGL7.(1�-t�f �ys7%G G®,rL/ /
in accordance with detailed information stated belo
Signe `
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of..premises (present)/ Y (future) /1_ IW O'
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 fixturese�11W/L_VX3"
3. Water Supply /a(/ 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 to Capacity below flow line
Inlet and outlet arrangements_e���G!/ /?/GAT 7— L-Z/l
Facilities for cleaning lVeAl/�eGh-" Distance from dwellings on same
property on adjoining property J y
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
Width of trenches �/1- ft. , depth of broken st ne or screened gravel ft.
Stone or gravel will be covered by_T�P/� 46 t Distance between
(tar paper, salt hay) LL//
trenches ft. Distance from water supply on same property 7/
on adjoining property OQ /
--y
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by� (/C
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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QQ TOWN OF SOUTH WINDSOR
67-e /A 'n BUILDING DEPARTMENT
�Z!2 -71--2- S
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date. G d 3 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property R. W F40 /FLG11 Address of Owner I y
2. Location of Property y Z -S 7 Lot. No. --;4-6,
3. Type of Structure -P>V4 kS LL( No. of Bedrooms 3
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises Dry t�7 c r—A M 11,
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank boo C AL4.cnti g Material of Septic Tank
7. Soil Conditions: Type of Soil SRlMA Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well I'DimLic- from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test 1T4 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches i WbGtC-3) Length i 42 Pr Width 3 C- Total 47W
Other
Signature
(Licensed Installer)
(Sketch showing all minitnum distances and other details required below)
Permit Issued 03 'Ju./L5— 19 By
Installation Completed, Inspected and Approved 0 3 J go E 19111 _ By/'�
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