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HomeMy WebLinkAboutSeptic New 163 Northview Drive FEE TO THE BUILDING DEPARTMENT Application No. `s �3 TOWN OF SOUTH WINDSOR Date I hereby apply for permit to build a'sewage disposal system for a Re scale nee (Residence , boarding house , hotel , etc.) Owned by-- my11 1 e v-e of And located at */_ a-S ) 163 fly D'-R,J'l eu) JJIr To be built by Rf ct ee t,r,m80[ de-rP f in accordance with detailed information stated below. Signed (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1 . Estimated population of premises (present) Oe (future) 2. Description of premises (including number of bedrooms) �qi Se H c1V-tl© VV.'_S No. Fixtures (Above basement): Water Closets Urinal-9 Lavatories Bath tubs_ —Showers Kitchen Sinks ` Laundry Tubs Garbage Grinder List basement fixtures / ki c- 3. Water Supply P', h �! Kind of Well (Public, well, spring, cistern) Location of well and underground water piping Method of obtaining or storing -supply /111_p� — (Pumps , tank, etc.) 4. Character of soil at proposed location of leaching system, including depths of various strata (sand, loa clay , hard , rock, c. --Use test pits.) 5. Elevation of highest ground water (with reference to both present & future grade) w 1 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 Distance from dwellings on same property %D , F 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 ZZ9` ft. Width of trenches 2i ft. , depth of broken stone or screened gravel /6'P ft. Stone or gravel will be covered by b k!i;Ze - . Distance between ` (tar paper, salt hay) trenches (p�yy,,L�,,, 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 I loor 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. o 7 7- 4 PRIMUS & WELTI ENGINEERS Glastonbury, Conn. fa ' �30�600 rArvn � U t rl ti 1Z' r r fir` 7`Z R °a' 7—;"0 Al a4 1 "ti FOUNDATION CHECKED Al DATE SCALE CERTt/lED SUBSTANTIALLY CapItEC1 SIGNED DATE