HomeMy WebLinkAboutSeptic New 635 Nevers Road FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date Id — 2 Z
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house, hotel, etc.)
Owned by �k. of
And located at�� �
To be built by - of
in accordance with detailed information stated below.
Signed -
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) 2 (future)
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets Urinals Lavatories /
Bath tubs L__Showers _Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply 0.101i Kind of Well_-
(Public, well, spring, cistern) l�
Location of well and underground water piping
Method of obtaining or storing supply cl-
(Pumps Aank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata 7/-
(sand, loam, clay , harcWan, rock, etc. --Use test pits.)
5. Elevation of highest ground water /D
(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_Y)(d Sr' Capacity below flow line Id-70
Inlet and outlet arrangements eo-L-� cll
Facilities for cleaning ee�aDistance from dwellings on same
property / '3 1 o 4' , on adjoining property 1 d'D Zw
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 isZ"ft.
r�
Width of trenches O t. , depth of broken stone or screened gravel #.
Stone or gravel will be covered by Lc-a 4- Distance between
(tar pap r, saqt y)
trenches _ft. Distance from water supply on same property
a
on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map_T/
System was designed by
Above information furnished by e
No discharge of sewage or sewage effl6ant into any watercourse should be permitted
without approval of the State Department of Health and State Water Commission.
\., V. L.I1 J
SOUTH WINE
SCALE: I inch = 50 fi
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