HomeMy WebLinkAboutSeptic New 1075 Main Street r FEE /
TO THE BUILDING DEPARTMENT Application No. ��/
TOWN OF SOUTH WINDSOR Date .27 Iffy—
I hereby'a y for permit to build a sewage disposal system for a
(Residence, boarding house , Y�Otel, etc.)
Owned by ��st�' of�/�.�:i✓
And located at �.� Lf�,'�s��®�•, �,,r,
To be built by of
in accordance with detailed information stated below.
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) Y (future)
Z. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets i Urinals Lavatories
Bath tubs / Showers Kitchen Sinks_ _Laundry Tubs
Garbage Grinder List basement fixtures_
3. Water Supply Po ztjE!/ Kind of Well
(Public, well, spring, cistern)
Location of well and underground water piping 1A'0'*'Z '/ "I'lre - -
I
Method of obtaining or storing supply
i� ,
(pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata �Sr�/✓�
(sand, loam, clay, hardpan, rock, etc. --Use test pits.)
Elevation of highest ground water "
(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
Facilities for cleaning /P ��a✓aiL Distance from dwellings on same
d
property %d ' /n%.,y. , on adjoining property 5d
Automatic Dosing Apparatus , if any (describe)
Soil Absorption System
If Ge-s�s, No-. diameter ft.; depth below inlet ft.
If tile field or leaching trenches , total length is %.�0 ' ft.
Width of trenches 2-' ft. , depth of broken stone or screened gravel ft.
Stone or gravel will be covered by Distance between
(taf 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 Irlo �/.
System was designed by 0 CU %0
Above information furnished by e,e- / A • ,�l rr�ry-
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.
7977777
CLR,TIFY THAT THIS MM,
�_ ' SUB.STANTTALLY CORRECT.
:;ZONING. OR:BUILDING LINE 4
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