HomeMy WebLinkAboutSeptic New 55 Ordway Drive r?
FEE 1�
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 �i¢rn f S /7J/f/// of , . :.v l�fv�t
b6And located at �� / �' ' ��• 161 , . ;.� o✓t,
To be built by ,jam fS' /W///��' Of 6, , (�(/,,�� ro rt,
in accordance with detailed information stated below.
Signedo.,//T/G
. ,
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION Aw
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms) /a��-,f'
No. Fixtures
(Above basement): Water Closets 2— Urinals Lavatories J
Bath tubs /_ —Showers Kitchen Sinks _Laundry Tubs
Garbage Grinder N sv.L, List basement fixtures ,;j s H� 2
3. Water Supply 1/1-' Kind of Well
(Public, well , spring, cistern)
Location of well and underground water piping t- o N fi
Method of obtaining or storing supply o
(pumps , tank , etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata ► )
(sand, loam, clay, 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
Dimensions Capacity below flow line 0� L
Inlet and outlet arrangements
Facilities for cleaning C&.tf-r Distance from dwellings on same
property_ o ='+', 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 �. ft. J. depth of broken stone or screened gravel l ft.
Stone or gravel will be covered by b e' 'AZ . Distance between
(tar paper, salt hay)
trenches G ft. Distance from water supply on same property t,c
W,(1 }cn �0 1'fi, on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map to �l R *�
System was designed by_ (Z ry cc 0 `, ,,V
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.
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of James ?iLKie , i l intTton `t�i . , ;c)11 11 iridsor , iCa1e 1 " = 40 �
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