HomeMy WebLinkAboutSeptic New 58 Edgewood Drive FEE` �?O. D 0
TO THE BUILDING DEPARTMENT Application No. -7
TOWN OF SOUTH WINDSOR Date /l/ll,�4
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house, hotel , etc.)
Owned by ��if/'S/ //�l/��G�L�j` 1T-5 of
And located at (CO
To be built of
in accordance with detailed information stated below.
Signed
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(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
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1 . Estimated population of premises (present) S /�&y4e_ (future)
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets -. Urinals Lavatories
Bath tubs 2- Showers Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures ��' �� >- ro.✓,,��c 7�oriS
3. Water Supply 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 V leyx*_O " S,-t-� -- 7V 6 " /;)6�:�7 7,-'
(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 �� `?Ci6'� a''Capacity below flow line 9110 6 L11eao_
Inlet and outlet arrangements__&y G 6
Facilities for cleaning':F�A&6j_ Distance from dwellings on same
property 4 s on adjoining property
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-7—ft. , depth of broken stone or screened gravel / t/ ft.
Stone or gravel will be covered by &;?r Distance between
(tar paper, salt hay)
trenches ft. Distance from water supply on same property
on adjoining property 70 `
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by wally
Above information furnished byU/T�
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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PRIMUS& WELTI ENG114EERS
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FOUNDATION CHECKED
DATE iCAL�.R. j b Q CKRTIKIHD IUdiTAN'TIALLY C91MR96T
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3 SIGNED DATS 'Q 31 2.
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