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HomeMy WebLinkAboutSeptic New 50 Edgewood Drive FEE -,.,Vey TO THE BUILDING DEPARTMENT Application No. `G.� TOWN OF SOUTH WINDSOR Date //—e 4 Z' I hereby apply for permit to build a sewage disposal system for a (Residence , boarding house , hotel , etc.) Owned of Sd _ And located at To be built by_A911111/ of ��� � in accordance with detailed information stated below. Signed ,4 V too;lt�l ' (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1 . Estimated population of premises (present) / ti//Ly' _(future) 2. Description of premises (including number of bedrooms) No. Fixtures (Above basement): Water Closets -- Urinals Lavatories ;P—'... Bath tubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder List basement fixtures . /e0®10— 3. Water Supply ���L/l' 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 ,��/�� 7eV o6e (sand, loam, clay, hardpan, rock etc. -Use test pits.) 5. Elevation of highest ground water S/y (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 Dimensionstl/lrl� &` t�Capacity below flow line ��0 D`�91���A Inlet and outlet arrangements.--�� j��� Facilities for cleaning, Distance from dwellings on same A property on adjoining property U 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. Width of trenches ft. , depth of broken stone or screened gravel ft. Stone or gravel will be covered by.npa!!�� . Distance between (tar paper, 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 f 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. t�h�d � isK; ��'syl --� '� r'�'Y'.�,t x r�� '�.�'�`�°''� te- � q f'�•� .fir �'y rr ,L ,RPM.f PRIMUS & WELTI ENGINEERS Glastonbury, Conn. N. 0 0 C � oyo37a 4oY Y � a 33' iF -qk y -sr y N900 C- 11K 33 o r3 y.i. . t 4V t-_ ` =1 t_ CD -r T__'�' t- Al O T 3 (0 9 VA 1._ t` T ! tM ; C;7 10 N • A i FOUNDATION CHECKED DATE a ,CALK I CERTIFIED SUBSTANTIALLY CORRECT SIGNED DATE JU 31- ►c)6t- s1aNs• If -" 1