Loading...
HomeMy WebLinkAboutSeptic New 101 Hillside Drive 43800101 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 , hetei, etc.) Owned by k//' /, r � of NO 14h Wo K/ D '�� � And located at /U/4p E. C,), knew.�w To be built by 4 P Q tf t 1Y 1 of S 6 , "1 i MCI Za r in accordance with detailed information stated below. Signed (A ppljc a n-t) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION l . Estimated population of premises (present) (T (future) 2. Description of premises (including number of bedrooms) _ No. Fixtures (Above basement): Water Closets 7/ Urinals Lavatories Z1' Bath tubs Showers Kitchen Sinks Laundry Tubs 4/d„it Garbage Grinder ,Yg/Ve. List basement fixtures.-_ Aald ttJ/fS�c� 3. Water Supply PUh�i Kind of Well (Public, well, spring , cistern) Location of well and underground water piping Method of obtaining or storing supply (Pumps , tia„v etc.) 4. Character of soil at proposed location of leaching system, including depths of various strata 5/4. IVCQ (sand, kam , cle*-pk dpan, reek;. --u-- tPGt n{ts.) 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 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 //D6 Capacity below flow line Inlet and outlet arrangements Facilities for cleaning 0 C G Ye r S Distance from dwellings on same property 3J Ion adjoining property Automatic Dosing Apparatus , if any (describe) NO Me, Soil Absorption System If cesspools , No. diameter ft.; depth below inlet ft. If tile field or leaching trenches , total length is f o ft. Width of trenches—..2- _ft. , depth of broken stone or screened gravel_�ft. Stone or gravel will be covered by 46A., Distance between Waa-p a r_, It hay) trenches 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_ PJQ� PiA System was designed by r Above information furnished by No discharge of sewage or sewage effluent into any '�V8tercourse should be permitted without approval of the State Department of Health and State Water Commission. r x,k 011 Y 41 � �� : Z2� tu F If a Al PRoPo -reo FLcY A1.4 L r)•i1,xvF �V4, e.l�FAaL 4 = 3© ��., St�NS. 'a'