HomeMy WebLinkAboutSeptic New 00 Oakland Road (2) 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.)
/y Owned by �L o W')4/ - of
dOK N R•
And located at
To be built by / � /ya GYM¢'���s JC; of 1,4f/ts
in accordance with detailed information stated below.
Signede--�
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) r/ P-e (future) 7_�V d
2. Description of premises (including number of bedrooms) /'C
No. Fixtures
(Above basement): Water Closets71?/"e Urinals-/' Lavatories t,
Bath tubs 04-e Showers 04-e- Kitchen Sinks 6),4` <- ' Laundry Tubs /--�'/I/
Garbage Grinder List basement fixtures A%_) -�
3. Water Supply A /// Kind of Well
(Public, well, spring, cistern)
Location of well and underground water piping % a '?, f
Method of obtaining or storing supply ���► `�' �� �'�¢/ j�
(Pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata e z
(sand, loam, cla , har pan, 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 Capacity below flow A ne � - ���c- ��A/?�¢er✓
Inlet and outlet arrangementsel ;
Facilities for cleaning cc-,A-.e' L 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` d / ft.
1�
Width of trenches 30 ft. ,.depth of broken stone or,,screened gravel le, ft.
Stone or gravel will be covered by Distance between
/ (tar paper, sal hay) /
trenches ft. Distance from water supply on same property iylz:M.
on adjoining property �Ze
Secondary Treatment, if other than soil absorption.
- -_ .:.�:-�..- �.:.:.�t....�: .. ,
Describe in tai _eri 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.
.5
ate,,.n � ..,-:... .:., :. , - -.�•.�
Fr f
a
t`
v
Ty
�c
r ,
�r
/�,` .�� / ✓-Y-lam�/� � i� -�.' � ...,�. r ,. . _. ,, -...,�„ -
g '
L.-