HomeMy WebLinkAboutSeptic New 100 Northview Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposals�
P 9System
Application No.
TO THE BUILDING DEPARTMENT: Date. ;i I Q UhV'/QS L l 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: J /�
1. Owner of Property P I;' Address of Owner)�G 1 !G�'L�/�U//�tt/A/6' 2
2. Location of Property �UCJ 1 (a�%�1 Ut z{/ PnI v e X�q r1f 10/1YV";Vq Lot. No. �d
3. Type of Structure fl-!i No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ /
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs_______
Showers_ Kitchen Sinks__ Laundry Tubs a Garbage Grinder_ Other
6. Liquid Capacity of Septic Tank G �(G/Y Material of Septic Tank 7N t 6
7. Soil Conditions: Type of Soil l2 Uu'L 9 C6/ Y(Sand,Gravel,Clay,etc.) Maximum ground water table
8. If not served by public water supply: Distance from Owner's well from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches_ Length Width _ Total
Other (�
Signature �'l
(UpOnsed Installer)
(Sketch showing all minimum distances and other details required below)
4 ,
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
TO THE DIRECTOR OF HEALTH Application No.
TOWN OF MANCHESTER Date 0C
I hereby apply for permit to build a sewage disposal system for a
(Residence, boardinghouse, hotel, etc.)
Owned by ,,�jr' zy;ob{� � _ of oo
And located atp�o ���-;,, ry�
To be built by��OVCC ✓t/ of
in accordance with detailed information stated below.
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1. Es: ated population of premises (present) (future)
2, Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets Urinals Lavatories �
Bath tubs--Showers Kitchen Sinks
—_Laundry Tubs
Garbage Grinder List basement fixtures
;;ZU1
�3. Water Supply 0/// C Kind of Well —
(Public, well, spring, cistern)
Location of well and underground water piping
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, hardpofn, rock, etc. --Use test pits.) y
5. Elevation of highest ground water
(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 p2l Distance from dwellings on same
property A ; , on adjoining property
Automatic Dosing Apparatus, if any (describe)
Soil Absorption System
,i
If cesspools, No. diameter ft. ; depth below inlet ft.
If tile field or leaching trenches, total length is ft.
Width of trenches c1 ft. , depth of broken stone or screened gravel ft.
Stone or gravel will be covered by %JC44L4'4J— Distance between
(tar paper, salt hay)
trenches .. 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 � � 0
System was designed by
Above information furnished by
No discharge of sewage or sewage effluent into any watercourse should be per-
mitted without approval of the State Department of Health and State Water Com=
mission.
7777
. 4 - 7
PRIMUS & WELTI ENGINEERS
Glastonbury, Conn.
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FOUNDATION'CH9CK9D ly
DATE SCALE `` 60
CERTIFIED SUBSTANTIALLY CORRECT
SIGNED DATE � �"ga0 7, 31ONIa � � p-. ( �•� aa..�.