HomeMy WebLinkAboutSeptic New 00 Ellington Road (13) �f vi
FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date 9-24 4�i 2/
I hereby apply for permit to build a sewage disposal system for a
z
(Residence , boarding house, hotel , etc.)
Owned by of ef
And located at
To be built by of
in accordance with detailed information stated below, T
Signed --
61- (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 if/c Lavatories 2
Bath tubs- Showersz/ _Kitchen Sinks j _Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply // Kind of Well 4
(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 ram.
(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 W L
Dimensions !� X x ` Capacity below flow line
Inlet and outlet arrangements
Facilities for cleaning i� ae,,6 d A.✓fDistance from dwellings on same
property f
on adjoining property
Automatic Dosing Apparatus , if any (describe)
Soil Adsorption System
N
If cesspools , No. diameter ft.; depth below inlet ft.
If tile field or leaching trenches , total length is
Width of trenches ft. A. depth of broken stone or screened gravel �2 ft.
Stone or gravel will be covered by h/%-R Distance between
(tar paper, salt hay)
trenches ft. Distance from water supply on same property
on adjoining property
I
a Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by
Above information furnished by �-JU
No discharge of sewage or sewage effluent into any watercourse should be permitted
r
without approval of the State Department of Health and State Water Commission.
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