HomeMy WebLinkAboutSeptic New 393 Graham Road 1040
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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
(Residence , boarding house , hotel , etc.)
Owned by " ""— of ,ed C5"
And located at 390? 9'
To be built by i�-_ of
in accordance with detailed information stated below.
Signed
(Applican
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GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms) �iey�.s, S
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs ?i ShowersL_Kitchen Sinks / Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply ZA4e// Ae,,, 14!� ,(—Kind of Well
(Public, well , spring, cistern)
Location of well and underground water piping ;�;.
Method of obtaining or storing supply 9�
00'(Pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata xAle j
(sand, oam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water A1e1j1e_
(with reference to both present & future grade)
Description of proposed system (Furnish drawings of same , with plot plan showing T-
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 11
Dimensions Capacity below flow line
Inlet and outlet arrangementsa?,V�/'Jr
Facilities for cleaning c=;��'1/eO,e,'Z- 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 60" ft. 'Vav"4
Width of trenches ?-i ft. , depth of broken stone or screened gravel Z/ ft.
Stone or gravel will be covered by Distance between
(tar paper, salt hay) r���
trenches ft. Distance from water supply on same property
on adjoining property /1/er's-'e—
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map Agi 2tz ��C,'iy�
System was designed by
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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