HomeMy WebLinkAboutSeptic New 20 Oakwood Drive s 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.)
Owned by (J�, 7�/ ��..� of �L1 „
And located at 2 Deq OQ f 4-<) -o 10
To be built by of �
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 l
Bath tubs / Showers
___L_Kitchen Sinks Laundry Tubs I
Garbage Grinder List basement fixtures
3. Water Supply Kind of Well
(Pu 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, to , cla hardpan, r k, 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 V Zv JC '�- Capacity below flow line 96—o
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 / SU ft.
Width of trenches_ —ft. , depth of broken stone or screened gravel
Stone or gravel will be covered by Distance between
(tar paper, sa h )
trenches Jr- 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 byi
u
Above information furnished by �,c vtfT
No discharge of sewage or sewage effluent into any watercourse should be permitted
without approval of the State Department of Heqqlth and State Water Commission.
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i hereby this map to be
substantiaity Correct and that no