HomeMy WebLinkAboutSeptic New 11 Oakwood Drive t FEE
TO THE BUILDING DEPARTMENT Application No. #/117
TOWN OF SOUTH WINDSOR Date
I hereby apply for permit to build a sewage disposal system for a
V'er J
(Residence , boarding house , hotel, etc.)
Owned by Lj V, of
And located at J! ` .2
To be built by 40 of
in accordance with detailed information stated below.
Signed
—dt-'�
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) h/ (future)_
2. Description of premises (including number of bedrooms) o3
No. Fixtures
(Above basement): Water Closets Urinals Lavatories /
Bath tubs_ _Showers Kitchen Sinks_ Laundry Tubs
Garbage Grinder ListstTbasement fixtures
3. Water Supply Kind of Well
(Pub c, 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,Pay, har an, rock, etc. --Use test pits.)
5. Elevation of highest ground water
(with reference to both present & future grade)
J
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 V �i: V Jr1-2-- Capacity below flow line_
Inlet and outlet arrangements
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 oZ ft. , depth of broken stone or screened gravel / ft.
Stone or gravel will be covered by Distance between
(tar paper, salt a )
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 U' ',
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.
v �--�
77 s ,
r All. /8
4
1
F
C �
1_
.40
h
S
Y zZ s
?Zof
el
AN
Ile C)
F!1 !ice,
QAKt,'O01) DRIVE SUl'TH IV TND8011 C0N1 .
tieing I-ot. ":ct . 22 on .ma.P entitled n,".lap of V \l,?_--:Y VjI , tin-, ton
Road "011th Windsc�r, Cont . Property of Ir;�ma 1'a?.?ter KeTinetli Pa,:tmer
x
Scale 1 " �0 ' ! .,v , i , 1960 flayden
Scale 11, 5C '
HAYDEN
I hereby oertiiy this map bD be
substantially correct and that nc
ynn;�� rQ�tl�tinns arfl violated.-
17