HomeMy WebLinkAboutSeptic New 705 Nevers Road ,
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TO THE BUILDING DEPARTMENT Application No. �
TOWN OF SOUTH WINDSOR Date / '-/�
I hereby apply for permit to build a sewage disposal system for a
F (Residence , }aoar-ding--hawse_, hotel=etc'.)
Owned by PCLI V /4 26 A�_l ly of f A6
And located at 2,0 Mc.
To be built by of
in accordance with detailed information stated below. i
Signed
(Applicant)
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�. GENERAL INFORMATION
I . Estimated population of premises (present) o;2— (future)
2. Description of premises (including number of bedrooms) � a _
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs Showers Z _Kitchen Sinks Laundry Tubs f
Garbage Grinder_ List basement fixtures
3. Water Supply 0"4d4L &u,�.e2. Kind of Well GLr,�¢u..L
(Public, well , spring, cistern)
Location of well and underground water piping 3 9-
Method of obtaining or storing supply w S�
(Pumils , t nk , etc.
4. Character of soil at proposed location of leaching system, including depths of
various strata G`a ✓=-/ R�10'�
(sand, loam, clay , 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 Q00 Capaci y below flow line 9(,)6
Inlet and outlet arrangements
Facilities for cleaning Co de N r Distance from dwellings on same =4
property /� , Ion adjoining property Co—
Automatic
Dosing Apparatus , if any (des;cribe) �,c✓
Soil Absorption System
If cesspools , No. diamere� ft.; depth below inlet,-,,,. _ ft.
77
If tile field or leaching trenches , total length is ^0:
Width of trenches _ft. , depth of Broken stone or screened gravdlft "
Stone or gravel will be covered by
� Distance between
(tar paper, salt hay) �
trenches [D ft. Distance from water supply on same property
on adjoining pro erty /0
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map ('
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System was designed by ' s
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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FOR BUILDING PURPOSES ONLY
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