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HomeMy WebLinkAboutSeptic New 429 Niederwerfer Road FEE TO THE BUILDING DEPARTMENT Application No. TOWN OF SOUTH WINDSOR Date I hereby apply for permit to build a sewage disposal system for a (Residence , boarding house , hotel , etc.) Owned by � z_,��_ _O�. ��% 1-���-' of And located at[ 'i� To be built by ��� � ��� of in accordance with detailed information stated below. Signed - (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION I . Estimated population of premises (present) ;;K� (future) y Z. Description of premises (including number of bedrooms) Z No. Fixtures (Above basement): Water Closets v Urinals Lavatories 7--- 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 2s' Method of obtaining or storing supply (Pumps , tank, etc.) 4. Character of soil at proposed location of leaching system, including depths of various strata (sand, loam, clay , h pan, rock, etc. --Use test pits.) 5. Elevation of highest ground water _�„��­1 (with 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 Facilities for cleaning--4 Distance from dwellings on same property G ? on adjoining propert Automatic Dosing Apparatus , if any (describe) Soil Abs orption.,System If cesspools , No. ; diameter ft.; depth below inlet ft. If the field or leaching trenches , total length is Width of trenches ft. , depth of broken stone or screened gravel' ft. Stone or gravel will be covered by fi/eAuJ Distance between (tar paper, salt hay) trenches_ /a ft. Distance from water supply on same property on adjoining property Secondary Treatment, if other than soil absorption. Describe in detail and locate on map System was designed by Above information furnished by vl/ No discharge of sewage or sewage effluent into any watercouese should be permitted without approval of the State Department of Health and State Water Commission. 4 Own of oaaut4 ightboar Department of Pollution Control SOUTH WINDSOR, CONNECTICUT DRAIN LAYER'S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System Fee Paid $.............1.0.-00..... By Cliesk Number..................................................................................................... Permit No. .74 12........................... Date ................01.....` ...... .. . .......... Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein for repair .X... or construction ......... of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Property ...............................................ABC ev..9.41......................... Address of Owner ....429...Nit.d.o.r.w trter...fetid................... 2. Location of Property ......*t t...aide,,,bety�eer,,.Ells,x6t®>4,,,R®ad„., xd...NA t..Wi RCJ0.* .... Lot No. ........9.1............... 3. Type of Structure ...............Dwellxg............................................... ..... ............................................................................................................................................................. (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons to Occupy Premises ..........©?fie.... . .. ....family...................................... .................................................. 5. Number of Bedrooms ...Three...................... 6. Average Daily Flow ................................................... Manufacturer and 7. Liquid Capacity of Septic Tank ..1.I..PW....IS84T1 Material of Septic Tank grew (existing) eexerete S. Soil Conditions: Type of Soil ............................................ . ................................................................................................................................................................................. (Sand, Gravel, Clay, etc.) Maximumground water table .....................................................................................:........................................................................................ 9. If not served by public water supply: Distance from Owner's well ....? ....feet........................................ From adjacent wells ..................... 10. Distance to nearest water course, drainage ditch, storm drain or embankment ....................................... .................... .............. .. ... ......... 1. Percolation Tests: Time for 1" drop in soil test ..................................................................................................................................................... ....................... Classification of soil12. .................................................................................................................................................................................................... Minimum square feet of effective seepage area required ................4e,..FAA....1.7...below. . ........... . ....... ....................................................... . Leaching System: Number of trenches ................................................ Length ................................................... Wi.d. t.h.. ........... O...feet........... Total ................................................ Other .P;k# .f eld...still.... m...use...exeept....aa....ah®wx-......... . . ............... 14. Plot Plan Attached. ......Yea............................................. 15. Layout Approved. .................................................................... 16. This permit expires .........fl.��fl�171+ ........... ! 17. This permit issued to cover reloaati®x of p . ..of existing septic field to make room for swimmixa pool. Signature ..... �Jr.--4cense�&ain��aye-r�i�—i ...........06363 Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances ................................. 19..7. �( By Pollution Problem abated Date ................................:. 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