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HomeMy WebLinkAboutSeptic New 30 Grace Road'37200030 Q� K FEE D r TO THE BUILDING DEPARTMENT Application No. TOWN OF SOUTH WINDSOR Date_��717 I hereby apply for permit to build a sewage disposal system for a �P"`,ss1d FWD 4- (Residence , boarding house , hotel, etc.) Owned off/Pole And located at ,.? To be built byAz';��Fil/LE'"e �O,d/S'%CO of �o in accordance with detailed information stated below. Signed Z-,,4 a-) (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1 . Estimated population of premises (present) (future) J 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 3. Water Supply Kind of Well (Public, well, spring , cistern) Location of well and underground water piping /O Method of obtaining or storing supply '2 fo .� o1 (Pumps , tank, etc.) 4. Character of soil at proposed location of leaching system, including depths of various strata _ (s d, 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 X Capacity below flow line 2D0' Inlet and outlet arrangements „c�iy � '5� Facilities for cleaning Distance from dwellings on same property �/�� 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 .20a ft. Width of trenches ,2 ft. , depth of broken stone or screened gravel ft. Stone or gravel will be covered by '�00650�1 Distance between (tar paper, salt hay) j trenches 0 ft. Distance from water supply on same property ,d`© on adjoining propert Secondary Treatment, if other than soil absorption. Describe in detail and locate on map System was designed by Above information furnished by '�%��� �I— 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. l y it A - t � � �&O ART i - - - - 27�- - - --1 o(� A � � w_�=a-