HomeMy WebLinkAboutSeptic New 15 Elizabeth Street 7 IS •
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TO THE BUILDING DEPARTMENT Application No.—
TOWN OF SOUTH WINDSOR Date W" —ice —�
I hereby apply for permit to build a sewage disposal system for a
(Residence, boarding house, hotel , etc.)
y/IVO*If t.&,odr, -ram -elgp
Owned by�/�L�f�:99/f/r! rT�T�" of
And located atLG^ //! $oe
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To be built by3n6_"1&11/W_%r
in accordance with detailed information stated below
Signed
(Applicant
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
l . Estimated population of premises (present) (future)
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 Z-,QaA04y GaN�/�G7-idiclr
3. Water Supply /���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
(sands 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� //X Y� Capacity below flow line 9Gd d,61,Le/y1'
'e /e
Inlet and outlet arrangement40�Z cz L
Facilities for cleaning4o_8Z4!pa Distance from dwellings on same
property l� on adjoining property %v
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 t= ft.
Width of trenches ft. , depth of broken tone or screened gravel ��ft.
cJi✓772�T,E�
Stone or gravel will be covered by T /DEf� Distance between
n r, salt hay)
trenches / �y ft. Distance from water supply on same property Q
on adjoining property �d
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by
Above information furnished by I=M=�
No discharge of sewage o ewage effluent into any watercourse should be permitted
without approval of the State Department of Health and State Water Commission.
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Mum of OuW4 lyinbsor
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
FeePaid $............::.r.. By .................. ' ..:::.:..................::. ................................................................................ Permit No. .............. ........: .................
Date ............ '.......... . ..: ...................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
of an individual sewage disposal system concerning which the following for repair ..,:..::. or construction g p y g g
information is submitted:
1. Owner of Property ..... ... ...�..:.;; Address of Owner ' ..:................................
2. Location of Property .....::::,a:;.......................................................................................................................................................I................... Lot No. ............::................
3. Type of Structure ' ' '
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ........;.....x :..(.:;..f.....:.;.;1.. :. .....................................................................................................
5. Number of Bedrooms .:;,':.;;r,: ::.....(: .il...............
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ...........: ;........ Material of Septic Tank ..........................................................
8. Soil Conditions: Type of Soil .......................;:i....................................................................................................................................................................................................
(Sand, Gravel, Clay, etc.)
Maximumground water table .............................................................................................................................................................................
9. If not served by public water supply:
Distance from Owner's well .:;:'.a'::,' .......................................................
From adjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .:.....................................................................................
11. Percolation Tests: Time for 1" drop in soil test ......;.1.::::.::.:......................................................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required ................ .`:
13. Leaching System: Number of trenches ......Thre.e.....(3)......... Length ..........1.25....f.t................... Width ..........3...Q....f.t...................
Total ....375 s..q.......f.t....... Other Far.ts...o.f....o1d....field.......................................................................................................
14. Plot Plan Attached. ....::.....:..................................................
15. Layout Approved. ...........Yen..............................................
16. This permit expires
5 ,
Signature ...................................................
.............................::...:.....:......::...:............................
............................................
(Licensed Drain Layer). "
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
................................................... ......... ......... ......... ............... 19... By ...... .........
Pollution Problem abated Date ........28.... epternber, 1.72. Mel Edwards, .
..........vin.......... ..............................Jr..................................................................
Inspector
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Scale = 40, in 111 approx, LOCATION 15 Elizabeth Street (hot 345)
New OWNER
D BB TYPE OF WORK Septic Addition
A '` DATE 09-28-72 PERMIT 72-88 PIPE4" O.B.
B 26
.... ,INSTALLER .._Adams (w_-206__
INSPECTOR ME DRAWN BY ME
PRIMUS & WELTI ENGINEERS 4
Glastonbury, Conn.
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FOUNDATION CHECKED
DATE SCALIK �° CoCa' C.>' CERTIFIED SUO.ETANT1ALLY Qovots"r i;
SIGHED DATe sloNeq .
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