HomeMy WebLinkAboutSeptic New 61 Norton Lane ` FEE
TO THE BUILDING DEPARTMENT Application No. ��
TOWN OF SOUTH WINDSOR Date /cam/�-�,
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house , hotel, etc.\)A f
Vin kfk-1,h sQlh �J au , UyinOwned byof�f
And located at 1ko 1 (p/ 11J D t- N cY^
To be built by 7S'a�h of 'K I t a �`
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)
No. Fixtures
(Above basement): Water Closets Urinals Lavatories _
Bath tubs _Shoers Kitchen Sinks _Laundry Tubs
Garbage Grinder klf) A List basement fixtures
3. Water Supply_ R b L l C. Kind of Well
(Public, well, spring, cistern) ,
Location of well and underground water piping
Meted af_Qbtaining or storing supply
(pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata _� 0.h l' 16 G h,
(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
Dimensions b Capacity below flow line
Inlet and outlet arrangements M
Facilities for cleaning Distance from dwellings on same
property /S on adjoining property
Automatic Dosing Apparatus , if any (describe)
Soil Absorption System
If cesspools , No. diameter ft.; depth below inlet ft.
eA
If tile field or leaching trenches , total length ist U- ft.
Width of trenches- 2 _ft , depth of brokeri stone or screened gravel aL ft.
Stone or gravel will be covered by f, Distance between
-/ (tar p p , salt hay)
trenches /S ft. Distance from water supply on same property
on adjoining property
Secondary Treatment, if other than soil absorption
P
Describe in detail and locate on ma 6?0
u=
System was designed by - a
Above information furnisheO/by
No discharge of sewage or sews/'eeffluent into any watercourse should be permitted
without approval of the State Department of Health and State Water Commission.
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FOR BIII�.DING plt�?�(tcr� ••�
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