HomeMy WebLinkAboutSeptic New 64 Palmer Drive 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
assi dog✓cx'
(Residence , boarding house , hotel , etc.)
Owned by V 4�701?A' of s s 4VVT COA11117
And located at of a H /%/ �i`,(d4' �A/iry sir ,air ��a T 'V /�
To be built by U .,� L of
in accordance with detailed information stated below.
Signed alzg= =::::�
(Applicant)
. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) `4e (future)
2. Description of premises (including number of bedrooms) 13
No. Fixtures
(Above basement): Water Closets Urinals Lavatories 2'
Bath tubs l Showers
j Kitchen Sinks Laundry Tubs "--
Garbage Grinder — List basement fixtures
3. Water Supply w 's z- 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 df leaching system, including depths of
various strata W eA1y 'l"09a/dy e/vy v- 11'"JAgly
(sand, loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water / j n/G
(with reference to both present & future grade)
A
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 4�141, y P'4 °- Capacity below flow line
Inlet and outlet arrangements
Facilities for cleaning Distance from dwellings on same
property /�2 IF I- , on adjoining property /e jT•
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 6Z ft. , depth of broken stone or screened gravel > Z ft.
Stone or gravel will be covered by_ Distance between
(tar paper, salt hay)
trenches ft. Distance from water supply on same property 4ZLe o/=T
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 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.
•
f OR BUILDING PURPOSES OKI,
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