HomeMy WebLinkAboutSeptic New 80 Hayes Road FEE
TO THE BUILDING DEPARTMENT Application No. 4�22!
TOWN OF SOUTH WINDSOR Date -�
I hereby apply for permit to build a sewage disposal system for a
(Residen boarding house , hotel , etc.)
Owned by Sk M4,e6 2f r PA41 ow'e,11 of
And located at
To be built by of
in accordance with detailed information stated below.
Signed
(App 'c nt)
. . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) 3 (future) 3
2. Description of premises (including number of bedrooms) .da
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
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, loa , c y , hardpan, ock, etc. --fute test pits.)
5. Elevation of highest ground water
(with reference to both present & future grade)
�r
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 d) Capacity below flow line
Inlet and outlet arrangements
Facilities for cleaning t? IC4�/eiQs Distance from dwellings on same
property AD 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
i
Width of trenches ft. , depth of broken stone or screened gravel ft.
Stone or gravel will'be covered by Distance between
(tar apVtex
salt hay)
trenches ft. Distance from supply on same property �G
on adjoining property
;Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map_ � ��✓
System was designed by12 , 2- C kzvi
Above information furnished by
No discharge of sewage or sewage effluent int y watercourse should be permitted
without approval of the State Department of th and State Water Commission.
FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date 6,;?
I hereby apply for permit to build a sewage disposal system for a
(Residence , oarding house, hotel , etc.)
Owned bys'��1� �e�-/rly ����CG� of
And located at
To be built by /Q , Z XLO V of
in accordance with detailed information stated below.
Signed 4a�,
(Applic nt)
. . . . . . . . . .
. .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
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
Method of obtaining or storing supply
(Pumps , tank, etc.)
4. Character of soil at propose location of leaching system, including depths of
various strata
(sand, loam, c y, hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water �/Q"
(with reference to both present & future grade)
Description of proposed system (Furnish drawings of same , with plot plan showing
a
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 4
Inlet and outlet arrangements
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 #t.
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 propretty
on adjoining property
Secondary Treatment, if other than soil ab orption.
Describe in detail and locate on map
K .. 00p,
System was designed by
Above information furnished by
No discharge of sewage or sewage effluent i any watercourse should be permitted
without approval of the State Department of alth and State Water Commission.