HomeMy WebLinkAboutSeptic New 193 Northview Drive 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
(Residence , boarding house, hotel , etc.)
cy �
Owned by �Al2 K- YEG�%r ��� � e off/r fig/r)'1�c'�' It
And located at_�_�
To be built by (�,�� d �,� C of
in accordance with detailed information stated below.
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) IT (future)
2. Description of premises (including number of bedrooms) IC,Sr,5 e u
-L4—
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs- Showers Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures lV r — / l �.
3. Water Supply 1_2t4 4 /<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 erop�osed location of leaching system, including depths of
various strata SL.
(sand, to , 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 q�(/7 e�WCapaciittly below flow line
Inlet and outlet arrangements
_AO&
Facilities for cleaning C Distance from dwellings on same
property /D ,... — 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** ft. , depth of broken stone or screened gravel l6" ft.
Stone or gravel will be covered by eLG�— . Distance between
(tar paper, salt hay)
trenches �o � ;� , 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 e
,��
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 & VIELT1 ENGINEERS
Glastonbury, Conn.
to
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F*JJNOATICN'CHECK EC a/''
C E6 BC�t,R —► CERTIFIED SUO&TANT1ALLY CORRECT.
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