HomeMy WebLinkAboutSeptic New 12 Oakwood Drive FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date V_/,Z/ G
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house , hotel , etc.)
Owned by of 1AI.ti1
And located at Zn� 7� t 2 el�ku'Joe-V R-0—
To be built by yL_42 of Cc�.
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 J
Bath tubs- Showers_�_Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply Kind of Well
(Pu is, 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 Z-.S-,A '_' -,-- Z'-'j Z"'
sand, lot4n, clay hardpan, r k, etc. --Use test pits.)
5. Elevation of highest ground water
(with reference to both present & future grade)
'L
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 f�/ Z 'K �� Capacity below flow line 6'0
Inlet and outlet arrangements
Facilities for cleaning-4 � Distance from dwellings on same
property j /J 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 170 ft.
Width of trenches __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 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.
a iR'
Q' o `
01
qO
n` 9
IV
O L&6-'(
0
. .f
536NO
s
Be: in-; Lot 3i on R1wp 121.t ' i` ' : "Map of Valloy ErJ.ew Va- r,rfi ,
l injto:. gout y? .. , e,: 1 . !''ropy rl t .)f Emma Pa ! -mer f,
sCa. 930 ►
I hereby ce" ttris MW tO 69
;, b3taibaliy cor-ect and that nn
zoning raguMons sTe Violated.