HomeMy WebLinkAboutSeptic New 81 Edgewood Drive FEED O�
TO THE BUILDING DEPARTMENT Application
TOWN OF SOUTH WINDSOR Date • 2 Ifold
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house, hotel , etc.)
Owned by1��/�,I/j of !�%/�1���1J�� ��/✓/
81
And located at C 07— � lT/UDy fgy'
To be built by of
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_`/x"OK/ ��r�/�i✓ `�T/Gi✓��
3. Water Supply �'1�31_/� 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 F
Dimensions''x ,6"x `EF° Capacity below flow line MD® d'1:,9ZZ-ate'
Inlet and outlet arrangements ��d�<✓
Facilities for cleaningz/'ht///C1Le-_ Distance from dwellings on same
property � �/'l/il.�i�✓Gliy on adjoining property Z//U
Automatic Dosing Apparatus , if any (describe)
i
Soil Absorption System
If cesspools , No. diameter ft.; depth below inlet ft.
/_?;x,
Tf the field or leaching trenches , total length is /_!5�.5" ft.
Width of trenches �T ft. , depth of broken stone or screened gravel /`� „ .
Stone or gravel will be covered by OUL I . Distance between
(tar•pap r, salt hay)
trenches 4� 171AI, ft. Distance from water supply on same property
on adjoining property 7J_
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map � ��
System was designed by
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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