HomeMy WebLinkAboutSeptic New 110 Hillside Drive FEE
TO THE BUILDING DEPARTMENT Application No. -01
TOWN OF SOUTH WINDSOR Date / Z "2- Z--
I hereby apply for perm t to build a sewage disposal system for a
i
-� (Residence- boarding house, hotel , gtc.)
Owned by --of
110
And located at �
To be built by /-'%- F'. % of %/ /
in accordance `itY--detailed information stated below.
Signed ;
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
I . Estimated population of premises (present) (future)
2. Description of premis (including number of bedrooms) 0 e q-"; 7
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs Showers / Kitchen Sinks_ Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply G 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 propo d locatinn of leaching system, including depths of
various strata
(sand, loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water
(with reference to both present & future grade)
l�ph 1
x
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._ /'boo Capacity below flow line 166 6'
Inlet and outlet arrangements
Facilities for cleaning_C o ';/co i' Distance from dwellings on same
property / on adjoining property 5—p I
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 ft.
-'ec " �� t li$•v
Width of trenches ft. , depth of broken stone or screened gravel ft.
Stone or gravel will be covered by_ 0_ Distance between
( salt 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_ �Q1' t' 1 h Al
System was designed by -h
Above information furnished by
t
No discharge of sewage or sewage fluent into any watercourse should be permitted
without approval of the State Depa ment of Health and State Water Commission.
qT.
39�
40 dtl;
NI rn
M i N
N 1 N
N
a 32
N
� d-
�= '70
H I L L_ S t D F-- [� R. 1 V F—
' ��► ° " -� PROPOSED LAY
PH T T.LT PO, TN T)TTSTP T
`r ' a