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HomeMy WebLinkAboutSeptic New 200 Northview Drive s FEE /1 �sy TO THE BUILDING DEPARTMENT Ala, .s t'4 Application No. TOWN OF SOUTH WINDSOR Date 7-6--ems I hereby apply for permit to build a sewage disposal system for a (Residence , boarding house, hotel, etc.) Owned by j3y- c e W OP H, Q jAe g ^f , And located at 1 t � �, a�E 3 IV'i ✓ e W To be built by e�c�!o o cf �e IDS of V in accordance with detailed information stated below. Signed (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1 . Estimated population of premises (present) (future) 2. Description of premises (including number of bedrooms)' &ewr-0 ovh � p No. Fixtures (Above basement): Water Closets Z Urinals Lavatories Bath tubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder List basement fixtures 3. Water Supply P" b / 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 (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 M Dimensions / Capacity below flow line Inlet and outlet arrangements Facilities for cleaning /l'y � Distance from dwellings on same property 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 3011 ft. , depth of broken stone or screened gravel /Y" ft. Stone or gravel will be covered by �� Distance between (tar paper, salt hay) trenches 6,ote4ti.- ft. Distance from water supply on same property on adjoining property Secondary Treatment, if other than soil absorption. AO Describe in detail and locate on map � / 1 qe4, 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. ,A' FEE TO THE BUILDING DEPARTMENT Application No. TOWN OF SOUTH WINDSOR Date I hereby appl for permit to build a sewage disposal syste for a (Reside ce , boarding house, hotel, etc.) Owned of r And located at To be built by of in accordance with detailed information stated below. Signe pplicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1 , Estimated population of premises (present) (future) 2. Description of premises (inolqping number of bedrooms) 0L2_ J 3,� No. Fixtures (Above basement): Water Closets '2— Urinals Lavatories Bath tubs / Showers Kitchen Sinks Laundry Tubs Garbage Grinder List basement fixtures �� � ✓�'L'!4 3. Water Supply � 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 (sand, loam, clay, hardpan, rock, etc. --Use test pits.) 5. Elevation of highest ground water (with refe nce 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_ X y Capacity below flow line L� Inlet and outlet arrangements , Facilities for cleaning�� 4-.4'�Q Distance from dwellings on same property / 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 depth, depth of broken stone or screened gravel 0l0 `. 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 6 WELTI ENGINEERS Glastonbury, Coen. a HARPla R E i ,' ------ 13 S, r �, L O Y— 3 8 --t-© r-_.�- H E_N F t E T TA �� iN A P/l�'"�, �Ifi10I8i o I� 4?' 0 �0 2 7 Nod, 29196z r,1 (� _ __ Yy' N0FkTHV1EW 0 'i`J ', . •• i_--O T FF L. A N L p— ' FOUNDATION CHECKED KALE 60( DATE ' CERTIFIED SUBSTANTIALLY CORRECT SIGNED- DATE _ !" fG' 518N'R0 f - . � r-�"' ''i��.v-}+►,•.•+•- .