HomeMy WebLinkAboutSeptic New 110 Foster Road FEE
TO'THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date
I hereby apply for permit to build a sewage disposal system forra
(Residence , boarding house, hotel, etc.)
Owned by &-. Lo..-/G of "A'�/CAEs7'�r,e ,
And located atlAo A'0.rrE'.e ,p J.' j4/.V0f0,F_:1 ,
To be built by Z oNa- of
in accordance with detailed information stated below.
Signed
(Applican
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) '? (future) 6
2. Description of premises (including number of bedrooms) ,`L'.l�5'A.oFC� �4n•e<,',
ONE BATS' � 7"frp�E' BE'G'�E�dvMs
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs / Showers Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply_DR;v e m Ic-le l( Kind of Well ,L/e-4 e S,'%u es
(Public, well, spring , cistern)
Location of well and underground water piping_A-1
Method of obtaining or storing supply (62 SAL -7-
,-?A/0_-
(Pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata
(sand, 1 am, cl , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water R F4 t ." a'
(with reference to both pres nt & 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 �J o�y�j, ,z
Dimensions rc
y-7 x 7- 6 Capacity below flow line So 0
Inlet and outlet arrangements U4,
Facilities for cleaning Lo,.,4+ -eA2 CO""stance from dwellings on same
property
on-ad j oining--prUperty _
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/5 13 0 ft. Beds --
Width of trenches t.. depth of broken stone or screened gravel aZ /- ft.
Stone or gravel will be covered by Distance between
(tar paper, salt hay)
trenches % �rf ft. Distance from water supply on same property 7S
l� on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate__on map- Plai V I N u
System was designed by Al �„r
Above information furnished by
No discharge of sewage or sewage effluent i o any watercourse should be permitted
without approval of the State Department of Health and State Water Commission.
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