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Home My WebLink AboutSeptic New 38 Elilzabeth Street FEE '!:?- ® - cad TO THE BUILDING DEPARTMENT Application No. jlo TOWN OF SOUTH WINDSOR Date l/ O I hereby apply for permit to build a sewage disposal system for a (Residence , boarding house , hotel , etc.) Owned And located at G07' ? KP To be built by of in accordance with detailed information stated below. 3 Signed (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . GENERAL INFORMATION I . Estimated population of premises (present) � (future) 2. Description of premises (including number of bedrooms) Joy No. Fixtures (Above basement): Water Closets , Urinals Lavatories Bath tubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder List basement fixtures 3. Water Supply Kind of Well ( ublic, 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 stra)p-tsawdta- m s , c ay, hardpan-, rock, etc - se 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 Inlet and outlet arrangements Facilities for cleaning - Distance from dwellings. on same property �,� on adjoining property Aa 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. tr Width of trenches.?—ft. , depth of broken stone or screened gravel ft. Stone or gravel will be covered by Distance between (tarp er, salt hay) trenches ft. Distance from water supply on same property on adjoining property Secondary Treatment, if other than soil absorption. Describe in detail and locate on map System was designed by —d��oroe �V 4;/ �6'�P 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. V 4 v • • a� COwn lit #11ut4 ivinbsor Department of Pollution Control SOUTH WINDSOR, CONNECTICUT" DRAIN LAYER'S PERMIT Application for Permit to Install or Repair dividual Sewage Disposal System j FeePaid $...... ..� ......... By ...... ..... ................................................................................................................... Permit No. .. ................. .. .. .............................. Date ........ .-17. ... .................................. Pursuant o written application, permission is hereby granted to the Licensed Drain Layer named herein for repair or construction ......... of an individual sewage disposal system concerning which the following informatio is submitted: 1. Owner of Property ........................................r................ ........... ... ......... .... Ad ess of Owner ............. Z ' .r.!?t:...X/.T�... 2. Location of Property ...........3. ..... G.1.a 1. .................0 ............................................................................ Lot No. ....... x✓?. �... 3. Type of Structure ................. ../1J� .. ... ...................................................................................................................................................................................................... (Dwelling, Corn rcial Building, Store, etc.) 4. Number of Families or Perso to Occupy Premises .................. ....................................................................................................................................... 5. Number of Bedrooms ............... ........................ 6. Average Daily Flow ................................................... Manufacturer and 7. Liquid Capacity of Septic Tank ...............................................:... ... M rial of Septic Tank .......................................................................................... 8. Soil Conditions: Type of Soil ................................................ . .(� y' .............................................................................................................................................. (Sand, Gravel, Clay, etc.) Maximumground water table ............................................................................................................................................................................. 9. If not served by public water supply: Distance from Owner's well ............................................:........................... Fromadjacent wells ............................................................................................. 10. Distance to nearest water course, drainage ditch, storm drain or embankment ....................................................................................... 11. Percolation Tests: Time for 1" drop in soil test ..............................................................................................................................................V............................. Classificationof soil ..................................................................................................................................................................... ............................. 12. Minimum square feet of effective seepage area required ................................................................................................................................................... 13. Leaching System: Number of trenches ................................................ Length ................................................... Width ................................................... Total . .............. Other ........................................................................................................................................................................ 14. Plot Plan Attached. .......�! ...................... 15. Layout Approved. ....................... ........................................... �'2�L� �� 16. This permit expires ................................................................................................................... j�j qA&aa�in �� ! Signature V .......... ....... ............ ....... .. ...................................................................... (Liceaver) Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances .................................................................................................................................... 19.................. By .......................... ...... ......................................................................................................... PollutionProblem abated Date ...........T...... (.. .. ........................... .......... ........................................... ............... o"l`-' ..................................... 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