HomeMy WebLinkAboutSeptic New 00 Miller Road y♦
- FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date // .7.2
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house , hotel , etc.)
Owned by L olAs of J'a v w 0021ehe Dye t.'��
And located at
To be built by ���N,t of �-w•
in accordance with detailed information stated below.
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future) Q
2. Description of premises (including number of bedrooms)__ ?
No. Fixtures
(Above basement): Water Closets Urinals Lavatories /
Bath tubs- Showers_LKitchen Sinks Laundry Tubs /
Garbage Grinder &o"jr List basement fixtures & "'0
3. Water Supply W c i l Kind of Well
(Public, well , spring, cistern)
Location of well and underground water piping
Method of obtaining or storing supply
(Pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata ,t', d:gHd.
(sand, loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water &4 V&
(with reference to both present & future grade)
� S w
44
W
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_/ga X r;? Capacity below flow line 4"V/
Inlet and outlet arrangements T7;?ig1 r k-f
Facilities for cleaning A74A., lid L�E Distance from dwellings on same
property / D , 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 /f'f-d ft.
Width of trenches__.4_ft. , depth of broken stone or screened gravel 1�ft•
Stone or gravel will be covered byr Distance between
(tar paper, salt hay)
trenches F� r_ ft. Distance from water supply on same property , Us
on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by 7.,r f'spr� Ti�.yir �
Above information furnished by 7, Y, 4,24 „ P
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.
'l-, -IlwwMW7 # *tea
MAC' FOR MORTGAGE PURPOSES ONLY
;or . - •�
r
f 1j G
i f
r Z 7f
ON
1Y
_ i �� � r'•��-'� ASP �3_ �_".
1 "!
4
l a" f ,
:�C ! � at+V �kK- .f r f .i"y � - # �_. 't.�' y � nri � ♦ ��^�.�• L�f 1 O l_ � }' �.nf�.' .,'
15
( p' !?�ff YjGr "+ i.s �4w/./lfl w� Mir
c`
,. �6/�� f�-r •"` .w.f, ,++�` ., fir• •%:'..d /` y :'S « .3+' -.✓r: a,�} /
� -
.4.0 1/r! •Vf ' f4v•Sa bf. .,irJ�� �''sGk6 `ry
4 t hmby ceit N;ft =p to be
strbstantiatty corw and that nb
pro ViA{ ��.. , 1
'•rr n:r.-r. an+r:�!alinne w�A(I `.� "f-�" '«� ° .. .