HomeMy WebLinkAboutSeptic New 1510 John Fitch Boulevard FEE
TO THE BUILDING DEPARTMENT Applicatio 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 'ZO—y /4, B r o, of
And located at z�'j C' (AOA ,te e 3Wn�f tTQII �ei�
To be built by ��� 6 ��f 1)f/je am- of V o I rYa"r a
in accordance with detailed information stated below.
Signed,3QCL,..
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 6 Showers 2• Kitchen Sinks 0 Laundry Tubs 0
Garbage Grinder 0 List basement fixtures 0
3. Water Supply ut& Kind of Well r YICS/ 'e
(Public, well , spring, cistern) r
Location of well and underground water piping Q T T D r a rh itr e �D /hiiV
Method of obtaining or storing supply 70 11 413 n .foc !✓
( u�tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata S'l e W
(sand, loam, clay, hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water "' m
(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' �',Y 3- Capacity below flow line f
Inlet and outlet arrangementsa
Facilities for cleaning e- h Distance from dwellings on same
property yY o e � „V on adjoining property
Automatic Dosing Apparatus , if any (describe)
foil Absorption System
t
If cesspools , No. diameter ft.; depth below inlet ft.
If tile field or leaching trenches , total length is O ft.
Ar
of-4-renehe-s: - ft-- de
�--� -brQke.n-st-one or s,=eeaa-ed:_g=ye1 ft.
Stone or gravel will be covered by e Distance between
(tar b6perl, salt hay)
trenches ft. Distance from water supply on same property ,3 d d
on adjoining property 366
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map 49 eY C /p era
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.
te S C/c,ss J/
• TOWN OF SOUTH WINDSOR
BUILDING DEPARTMEN;T
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal
Spy/stem
Application No.
TO THE BUILDING DEPARTMENT: Date__ % so 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property '�119 - �' Address of Owner
2. Location of Property �/e. ''�_' H�1 41 l TCl it B,4 Yt, 4 Lot. No.
3. Type of Structure Ca m M l fx�' No. of Bedrooms
(Dweusng,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ '/d
5. Plumbing Fixtures: Water Closets 'I Urinals Lavatories_ Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank f d Material of Septic Tank 010 tVC
7. Soil Conditions: Type of Soil SA /Vol Maximum ground water table T
(Band,Gravel,Clay,etc.)
r _
8. If not served by public water supply: Distance from Owner's well 7S from adjacent wells 71S 4-
9. Distance to nearest water course, drainage ditch, storm drain or embankment 3 Z5
10. Percolation Tests: Time for 1" drop in soil test - Classification of soil
11. Minimum square feet of effective seepage area required so 671
12. Leaching System: Number of trenches 15 Length 7S Width �,Z Total ns
Other
Signature
(License nstaller)
(Sketch showing all minimum distances and other details required w)
_a
Permit Issued 19 By
Installation Completed,Inspected and p p Approved 19 By
TOWN I PF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date, fle ej 9 19 G
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property C DV Al?y OIS7el. O 14'1s Address of Owner W rAi of d`L,
2. Location of Property -JCM,,l 15T7 0 &✓b Lot. No.
3. Type of Structure G 0 4f owe Ofe'/4 L No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ �7
5. Plumbing Fixtures: Water Closets Urinals Lavatories / Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank e040 6!11 Material of Septic Tank G d 41 C.
7. Soil Conditions: Type of Soil S4 Ma Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment X D
10. Percolation Tests: Time for 1" drop in soil test Gl 1_ Classification of soil
11. Minimum square feet of effective seepage area required �D d
/ Q �
12. Leaching System: Number of trenches 15' Length YQ Width 2 Total Y Q
Other NS ie
pNA/ G AiE�
Signature
(Licensed ller)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
i
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