HomeMy WebLinkAboutSeptic New 1474Main Street Main Street FEE
TO THE BUILDING DEPARTMENT Application No. Z�/F
TOWN OF SOUTH WINDSOR Date w - lU e_7
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house , hotel, etc.)
Owned by J O,c pour we'o of /y7 y A ST,
And located at (OG /'fq/A/ i- E70OH6
To be built by BoorFA'Ca of S Ullly,OS'a A.
in accordance with detailed information stated below..
Signed azk ed l
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) o2, (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 � a NC List basement fixtures J`/ai/-
3. Water Supply u/ct A- Kind of Well /00 i /`�r
(Public, well , spring , cistern)
Location of well and underground water piping 014CS i S/pc
Method of obtaining or storing supply RVH? /r/G AN/e
(pumps , tank, etc.)
4. Character of soil at proposed location 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)
A
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 /t!A x 575e 6S Capacity below flow line /600 6A,tS.
Inlet and outlet arrangements ?4Afrf.E OvTt,ET C,4S7•it/ T,EIC
Facilities for cleaning .?J ' .Di•!. 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.
/00s,
If tile field or leaching trenches , total length is to -t- ft.
Width of trenches 30"' -ft-. , depth of broken stone or screened gravel 17 -4t.
Stone or gravel will be covered by fAP,-*— . Distance between
(tow paper, salt hay)
trenches R M/N. ft. Distance from water supply on same property 73
; on adjoining property ,200
Secondary Treatment, if other than soil absorption. t
,Describe in detail and locate on map ?x 7" li,II/
System was designed by 4, A Of-/Co
Above information furnished by 6- W A
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.