HomeMy WebLinkAboutSeptic New 00 Foster Street (2) FEE
TO THE BUILDING DEPARTMENT Application No. ��
TOWN OF SOUTH WINDSOR Date_
I hereby apply for permit to build a sewage disposal system for a
7 (Residence , boarding house, hotel , etc.)
Owned by d of , cu..
And located at
To be built by !1 of IA4
in accordance with detailed information stated below.
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) f,/ (future)
2. Description of premises (including number of bedrooms) 13
No. Fixtures
(Above basement): Water Closets i Urinals Lavatories_ l
Bath tubs / Showers / Kitchen Sinks _Laundry Tubs
Garbage Grinder .&,,,yz List basement fixtures
3. Water Supply ,,. :. Kind of Well
(Pu c, 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 �s6� z4:±: .
(sand, load, clay hardpan, ro , 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
DimensionsCapacity below flow line
Inlet and outlet arrangements___,
Facilities for cleaning Distance from dwellings on same
property 16 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 t.
Width of trenches 17 _ft. , depth of broken stone or screened gravel ! z ft.
Stone or gravel will be covered by . u-` . Distance between
(tar paper, sa h y)
trenches do' ft. Distance from water supply on same property
; on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by deed-'
-a
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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