HomeMy WebLinkAboutSeptic New 415 Niederwerfer Road FEE '`�/
TO THE BUILDING DEPARTMENT Application No. �02197'
TOWN OF SOUTH WINDSOR Date
I hereby apply for permit to build a sewage disposal system for a
(R sidenje , boarding house , hotel, etc.)
A PC
Owned by of S'a
¢/S
And located at ���� L
To be built by /�� 1 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)_ ��� ,��,,A�,/
No. Fixtures
(Above basement): Water Closets / Urinals Lavatories
Bath tubs / Showers Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures_
3. Water Supply `�-� Kind of Well
(Public, well, spring, cistern)
Location of well and underground water piping -
Method of obtaining or storing supply
(lumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata
(sand, loam, cla , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water_ ,��✓
(with reference to both present & future grade)
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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 o5' a 9'
Inlet and outlet arrangements ��i�
Facilities for cleaning i Distance from dwellings on same
property — on adjoining property /e'o
Automatic Dosing Apparatus if any (describe)
Soil Absorption System
If cesspools , No. diameter ft.; depth below inlet ft.
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If tile field or leaching trenches , total length is « G ft.
Width of trenches y ft. , depth of broken stone or screened gravel ft.
Stone or gravel will be covered by Distance between
(tar pap , salt hay) i
trenches ft. Distance from water supply on same property 7�
i
on adjoining property / o el-
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by ,
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.
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