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HomeMy WebLinkAboutSeptic New 1892 Main Street FEE TO THE BUILDING DEPARTMENT Application No. 33 TOWN OF SOUTH WINDSOR Date ( z— I hereby apply for permit to build a sewage disposal system for a (Residence , boarding house , hotel , etc.) Owned by of�g_ (J' r And located at zz To be built by of in accordance with detailed information stated below. Signed Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1 . Estimated population of premises (present) (future) 2. Description of premises (including number of bedrooms) _ No. Fixtures (Above basement): Water Closets 9— Urinals Lavatories �— Bath tubs102 Showers Kitchen Sinks X _Laundry Tubs Garbage Grinder List basement fixtures i 3. Water Supply . '�%/�� Kind of Well (Public, well, spring, cistern) Location of well and underground water pipingT , Method of obtaining or storing supply umps , tank, etc.) 4. Character of soil at proposed loc tion of leaching system, including depths of various strata (sand, loam clay, hardpan, roc , etc --Use test pits.) 5. Elevation of highest ground water Z11 (wiffi 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_�G� iq —�, Facilities for cleaning i Distance from dwellings on same property �S� / 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 y �ft. � Width of trenches �ft. , depth of broken stone or screened gravel ft. Stone or gravel will be covered by'24 �J Distance between (tar paper, salt hay) trenches ft. Distance from water supply on same property on adjoining property / S� Secondary Treatment, if other than soil absorption. Describe in detail and locate on map ell System was designed byW1001 Above information furnished y ( i 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. 71, N7' .a.}'`•+a' She 4s � ... ,. :. .. .PROPERTY OF ELLSWORTH SPERRY r' SOUTH YINDSO`t, CONN . ' Scale 1 ` -300 ' JUNE, T jE?_ ' F s � t -7 t i 113 ! 1 i ?` ' Jars 4 e �. ., .�, c E �.