HomeMy WebLinkAboutSeptic New 203 Northview Drive FEE
TO THE BUILDING DEPARTMENT
4*19 Application No.
TOWN OF SOUTH WINDSOR Date
I hereby app for permit to build a sewage disposal system for a
(Rest nce , b arding house , hotel , c.)
Owned b of
And located at "2 e3 h/ r/V V c.j f vz7—
To be built b
y •f
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)
f2LLkszI MCA V1.ee ��
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs- Showers Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply yt l 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 oposed location of leachin system, including depths of
various strata �C:ei. 2_9za
(sand, loa , clay , hardpan, ro k, etc. --Use test its.)
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—AM Capacity below flow line
Inlet and outlet arrangements
Facilities for cleaning Distance from dwellings on same
property %D ,,� _ on adjoining property 9�
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 JW f ft.
Width of trenches 02 ft. , depth of broken stone or screened gravel to
Stone or gravel will be covered by S&&ed- . Distance between
/ (tar paper, salt hay)
trenches 0ft. Distance from water supply on same property
1:2
/rJO/ - on adjoining property
Secondary Treatment, if other than soil abs/or/ption. //
Describe in detail and locate on map /oT "IA✓ � / "er'V ���d'y
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.
4.
PRIMUS & WELTI ENGINEERS
Glastonbury, Conn.
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FOUNDATION CHECKED
DATE SCALE I - '„a •:;:� " t ``
CERTIFIED SU*STANTIALI,Y Cgfkj(tQ ,
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SIGNED 0A T! 7R ;
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