HomeMy WebLinkAboutSeptic New 31 High Street FEE�267
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date 4 y
I hereby apply for permit to build a sewage disposal system for a
V'j�GAS//.�1' Gt
(Residence , boarding house, hotel , etc.)
Owned by e(//cra w, ,X c of Z/y
And located at
To be built by A/rc%!/J�sDi✓ /.?r�sL ry i!/// of ST
in accordance with detailed information stated below.
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Signed -l � x x,
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets a,�' Urinals 5� Lavatories --
Bath tubs- Showers Kitchen Sinks�_Laundry Tubs Avo.r>A'
Garbage Grinder iV,� Alg List basement fixtures e'll a,-i-,o> ,� 1�/ir s,v tiiA�u.�,�
3. Water Supply_ Pv 'B G 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 proposed location of leaching system, including depths of
various strata ,),,4,✓-0
(sand, loam, clay, hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water C�? /
(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 Capacity below flow line
Inlet and outlet arrangements OA4e,7&
Facilities for cleaning Cod&1Z- Distance from dwellings on same
property /4 ih" . , 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 43-d/ ft.
Width of trenches ft. , depth of broken stone or screened gravel /W/// ft.
Stone or gravel will be covered by x�—/ r1— Distance between
(tar paper, salt hay)
trenches & .. ft. Distance from water supply on same property �d
, C on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map__ 4a7`,/'/.qit��
. 1
System was designed by �.
Above information furnished by
No discharge of sewage or sewage effluent into watercourse should be permitted
without approval of the State Department of Health and State Water Commission.
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