HomeMy WebLinkAboutSeptic New 133 Miller Road 1,7
FEE
TO THE BUILDING DEPARTMENT Application No._ ��
TOWN OF SOUTH WINDSOR Date 7/ /i / r, L
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house , hotel , etc.)
Owned by-1�---�P�1 ro Ae V of
i
And located att 33 A71
To be built by /Re 6��T ,�/�C�'�is of Q d 4L 4[r 4
in accordance with detailed information stated below.
Signed Cy --�1�
(Applicant)
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GENERAL INFORMATION
1 . Estimated population of premises (present) (future) .3
2. Description of premises (including number of bedrooms) .3
No. Fixtures
(Above basement): Water Closets L Urinals Lavatories 2-
Bath tubs / Showers Kitchen Sinks —Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply 4"1 c!/ Kind of Well � T,
(Public, well, spring, cistern)
Location of well and underground water piping
Method of obtaining or storing supply 73
(Pumps , tank , etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata 1 7 S'u
(sand, loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water Ala Iv,e
(with reference to both present & future grade)
A/J J x-c
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 y XF- Capacity below flow line_ 9 o—y
Inlet and outlet arrangements kro'd,E ze"-,
Facilities for cleaning 1.�,g.,wh„ ig- Distance from dwellings on same
property ! a on adjoining property ; 6
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 1,2 6 ft.
Width of trenches___g._ft. , depth of broken stone or screened gravel t y ft.
Stone or gravel will be covered by u"rip"IErd Pflps r . Distance between
(tar paper, salt hay)
trenches 601" ft. Distance from water supply on same property 7,
�— ; on adjoining property 7J /=r'
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by a-Z.
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.