HomeMy WebLinkAboutSeptic New 00 Ellington Road (23) i.-- —�►
FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date 9/ice/e'Z
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house, hotel , etc.)
Owned by of s"o 7-
And located at
To be built by of
in accordance with detailed information stated below.
Signed "
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
.1 . Estimated population of premises (present) (future) S
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets z- Urinals Lavatories
Bath tubs / Showers Kitchen Sinks / Laundry Tubs
Garbage Grinder f List basement fixtures
3. Water Supply Kind of Well �
(Public, well, spring , cistern)
Location of well and underground water piping ->s
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
Dimensions Capacity below flow line
Inlet and outlet arrangements
Facilities for cleaning Distance from dwellings on same
property on adjoining property a
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 �� Distance between
(tar paper, salt hay)
trenches ft. Distance from water supply on same property �J
on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by
r7i
Above information furnished by �U-W'66/1
No discharge of sewage or sewage effluent in any watercourse should be permitted
without approval of the State Department of Health and State Water Commission.
' N
f
r'
10
V
10
O #e
a
0 o W
Pf/cuse N
¢S.o ,
•we
129. 69 l 3. ¢.S`
,EL L /n/G 7-0/V
PLO7 FZ-yA/
6-CP u /1 L✓/�r7 d5 or
.�'ei�ho/d Lufhrr
L 4,-�4' Surveyor
1
r 3.
i � .'� �.%
_..'���.
.. -
ti:
.�'
l
f