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Septic New 00 Oakwood Drive (3)
FEE ,,/ TO THE BUILDING DEPARTMENT Application No. �`l14P TOWN OF SOUTH WINDSOR Date ~L I hereby apply for permit to build a sewage disposal system for a (Residence , boarding house, hotel, etc.) Owned by of ' 7� a---. And located at To be built by (J of a, in accordance with detailed information stated below. Signed 4J (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1 . Estimated population of premises (present) l (future) y 2. Description of premises (including number of bedrooms)$ 13 No. Fixtures (Above basement): Water Closets Urinals Lavatories Bath tubs / Showers __7Z_Kitchen Sinks_7 Laundry Tubs/ Garbage Grinder List basement fixtures 3. Water Supply Kind of Well (Pu lic, 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 d (sand, loam, qYay , 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 g Dimensions y i2y�'c y Capacity below flow line Inlet and outlet arrangements v /I Facilities for cleaning , Distance from dwellings on same property d 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---a—ft. , depth of broken stone or screened gravel y ft. Stone or gravel will be covered by{� Distance between (tar paper, salt trenches 4L 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 Ate; Above information furnished by M 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. "MIS e I� �iE'T{3�1i' M.'al�'�s7'-! "^`. - • •Ii { MMPM 16 � 4 4np .o 23 � � z5 1 _21 rr 0 Q a � ` •I lef 04! N 4© E3 t..� v 536 �s10fNAtItp N� ` ' t�d ',s°- ` r'°,! �`0 ZiK . ,�, f/t/' r� �°. :. • ,f' ?� r CHID ,w ��f✓ ✓r'�r �1 „ �J Y�a A�i !WON INS iD subsb"tally oarrad and that no Ming.rwFoatio►ts are