HomeMy WebLinkAboutSeptic New 103 Northview Drive � � r
FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date 7"2-,1�-
I hereby apply for permit to build a sewage disposal system for a
ze S /'Ve 4-7(-' r
(Residence, boarding house, hotel, etc.)
Owned by Z=1 of (-M y
And located at �!� f /E03 /1�0 v�� V/e Cu, r
To be built by L4/l' t r8 ra w n of �, L J t v\4 S U !'
in accordance with detailed information stated below.
Signed
(Applica
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GENERAL INFORMATION
1 . Estimated population of premises (present) (future) /
2. Description of premises (including number of bedrooms) FO/ Fe c� 1'C GQ lr►C�j�,
a i2e- 41 {Vd6rnS
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubsl Showers Kitchen Sinks —Laundry Tubs
Garbage Grinderj�M 610 List basement fixtures Lc%C , V /
3. Water Supply Pc-f �//'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 C7 k-a y e /
(sand, loam, clay , hardpan, rock, etc. --Use test pits.)
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 2 �e�ZW%,a- Distance from dwellings on same
property /D/100 c. , on adjoining property
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 is 216 " ft.
Width of trenches Z/ ft. , depth of broken stone or screened gravel Iry ft.
Stone or gravel will be covered by 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
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.
PRIMUS & WELTI ENGINEERS
Glcstonbuty, Cann.
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FQUNDATION CNECKEO rr
PATE iCAL E ' . `s CERTIFIED SUBSTANTIALLY CORRECT
SIGNED OATS C. I r SIONEO L. t '
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