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HomeMy WebLinkAboutSeptic New 110 Northview Drive FEE TO THE BUILDING DEPARTMENT �7 ® Application No. TOWN OF SOUTH WINDSOR Date �_�' 3 I hereby apply for permit to build a sewage disposal system for a (Residence , boarding house, hotel , etc.) Owned by 'u /ccra off And located at To be built b of in accordance with detailed information stated below. Signed (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1 . Estimated population of premises (present) 7 (future) 2. Description of premises (including number of bedrooms) Jc�✓��- J No. Fixtures (Above basement): Water Closets Urinals Lavatories Bath tubs , Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Ujgl List basement fixtures 174 3. Water Supply �'� • Kind of Well (Public, well , spring, cistern) Location of well and underground water piping Method of obtaining or storing supply z-� (Pumps , tank, etc.) 4. Character of soil at proposed location of leaching system, including depths of various strata ILI ' .� (sand, loam', clay , hardpan, rock, etc. --Use test pits.) 5. Elevation of highest ground water a-r (with reference t both presefif & future grade) j' Description of r P oposed system (Furnish drawings of same, with plot l system including location size Pan showing , grade and material of house sewer and location Of ground or surface water drains w s ells and bodies of surface water.) Se tic Tank Dimensions Capacity below flow line /00 Inlet and outlet arrangements 61 Facilities for cleaning property Distance from dwellings on same on adjoining property Automatic Dosing p,P paratus , if any (describe) Soil Absor tion S stem If cesspools No. diameter ft. If the field or leaching trenches �_ � depth below inlet , total length is Width of trenches ft. - --_ft. , depth of broken stone or screened Shone or gravel will be covered by -- gravel�,ft. trenches (tar paper a Distance between ft. Distance from Ovate supply on same property on adjoining property Secondary Treatment, if other than soi l absorption. Describe in detail and locate on map w — System was designed by Above information furnished by age fflue No discharge of sews without approval of theeStateeDepart nt into an w ment of Health and Stateurse Water Corn be Permitted mission. r' . � K f 7 P P _ �" I _ .. .. _ 1 I (h- � t /_ �_ �r �- - -_ �\ � __ .. �. G 3 _ � -- . f ' i _ � - _. 2 ..y y E � _ _ ... j:,. � _ i _ _, -' -. _ �. R _�n-�-.n- _.� _ _ --�...__ y 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 e- Is ki e,� (Residence , boarding house , hotel, etc.) Owned by —B V'ae Q wood R C_ ✓Lo of ZS. . And located at � � Dt�7�t r//2CAJ To be built by S 1,c e P tj oo d �c y_(.s of in accordance with detailed information stated below. Signed (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION I . Estimated population of premises (present) (future) 2. Description of premises (including number of bedrooms) jee- r®©v►1S No. Fixtures (Above basement): Water Closets Urinals Lavatories Bath tubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder List basement fixtures 3. Water Supply At 6// e_ 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 ,e wel A" /'/✓ - (sand, 4oam, clay , hard an, 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 14&k Facilities for cleaning Distance from dwellings on same y property `�S '..r.� . w 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 ft. Width of trenches Z` ft. , depth of broken stone or screened gravel 16" 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 Ak� 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. T PRIMUS 6 WELTI ENGINEERS - Glastonbury, Conn. 1 4.3,0 0 43 z.a. -AR. C1 900 GAL.-ayn 1 h .t' iz'z•'IA ;A 461 •yf. 11 r' �1E=T�t-t U I + try/ �� �. ► �- ►1.'T FOUNDATION CHECKED SCA4 R �pp II DATE } 4 21MFIED BUNSTAHTIALLY'COARECT. � 5I6 N E D D A Y!^)1�.7� t l:h 6 �. Sla N><1�1 �..,,►