HomeMy WebLinkAboutSeptic New 00 king Street (3) FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date /,0 GZ
I hereby apply for permit to build a sewage disposal system for a
(Residencee� boarding house, hotel , etc.)
Owned by of
And located at ev.
To be built by !�/� ��� of lj�.A"
in accordance with detailed information stated below.
Signer--�
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) Ir (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 ,A'ct-"�`> Kind of Well
(Public, vze11 _a c4st9rn)
Location of well and underground water piping
Method of obtaining or storing supply
(Pumps , tank, etc.)
4. Character of soil at proposed to ation of leaching system, including depths of
various strata
- 'z,4_,t
(sand, loam clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water
(with reference to both present & future grade)
s . �
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
—A6-4��
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 ft.
If tile field or leaching trenches , total length is dI Vft.
Width of trenches 2 V'ft. , depth of broken stone or screened gravel / 9 ft.
Stone or gravel will be covered by —5 ems ` . Distance between
(tar paper, 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
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.
TOWN OF 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 6 J S— 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 ,®r Sf��m��.s/ Address of Owner_ ,
2. Location of Property Lot. No.
3. Type of Structure No. of Bedrooms
(Dwell Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises-
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank
7. Soil Conditions: Type of Soil 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
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches —: Length ap?e Width - Total S./Z /
Other
Signatur ~
/(Licensed Installer)
(Sketch showing all minimum distances and other details required belo
Alma
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
4or No
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PROPIMTY -OIL'
13INJIMIN P. ' JLTK.0 STMPIN
SOUTH WIIDSOR, CONX
SeItla t "-50 ' Sept .t 7,19 2
,s Note ;
House Railt before zoning,
There are no violatlons of
the zoning ordinamees .
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4 HEREBY CERTI.i'Y THAT THISfR
1S SUBSTANTW.J.Y WRW.