HomeMy WebLinkAboutSeptic New 173 Northview Drive FEE
TO THE BUILDING DEPARTMENT / Application No. �
TOWN OF SOUTH WINDSOR Date 0 —*%
I hereby apply for permit to build a sewage disposal system for a
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�,M��� (Residence , boarding house, hotel , etc.)
Owned by r of�,� 9 cc � S
And located at /7.3 /1/,p W
To be built by !>t-0,6if mood 4e-VeS" of &
in accordance with detailed information stated below. — -�
Signed e,,-4 'f
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms) leQ. Se �iP H
3 — �O 5
No. Fixtures
(Above basement): Water Closets_ _Urinals Lavatories
Bath tubs Showers Kitchen Sinks _Laundry Tubs
Garbage Grinder List basement fixtures f y tlP
3. Water Supply IP Lt f 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 19'
C4, ,&"' -
(sand, loam, clay , ha dp , 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 apacity below flow line
Inlet and outlet arrangements ��
Facilities for cleaning Distance from dwellings on same
property SZ on adjoining propert
Y
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 2-4 ft. , depth of broken stone or screened gravel /WN ft.
Stone or gravel will be covered by Distance between
(tar paper, salt hay) f
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—,e;z
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.
JL
PRIMUS & WELTI ENGINEERS w
Glastonbury, Cone.
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