HomeMy WebLinkAboutSeptic New 00 Ordway Drive (3) dit 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
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(Residence , boarding house , hotel, etc.)
Owned by of 2�2. / �u��'C�dZ:
And located at e ow/*-y D/ � �,JL� .I J ►z.
To be built by of JQ �� �f30
in accordance with detailed information stated below.
Signed . -�
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) '7 (future)
2. Description of premises (including number of bedrooms) zo;' f l
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No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs ! Showers_ Kitchen Sinks�_Laundry Tubs 'V6'V�
Garbage Grinder &&mot List basement fixtures GCS
3. Water Supply �/� Kind of Well
(Public, 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 A/
(sand, loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water
(with reference to both present & future grade)
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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
Inlet and outlet arrangements
�£ tea. J" 44wc
Facilities for cleaningT� ,,,y Distance from dwellings on same
property A% A?- 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 /- tZ -,'*. ft.
* ft.
Width of trenches Z ft. , depth of broken stone or screened gravel ft.
Stone or gravel will be covered by f�E Distance between
(tar paper, salt hay)
trenches ft. Distance from water supply on same property �G;c
�u4 / ® � on adjoining property ®`® �
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by fg // t p �`" siU
Above information furnished by_c^�=�
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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