HomeMy WebLinkAboutSeptic New 81 Palmer Drive .. f
FEE
TO THE BUILDING DEPARTMENT Application No. /W
TOWN OF SOUTH WINDSOR Date Z/ �2/ 14 9-
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house , hotel , etc.)
Owned by (� �_Po Uls/d r of ow"i
And located ati1 IJ /r?9/r 10a 9
To be built by U J-4 of
in accordance with detailed information stated below.
Signed. _
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) 41 (future) —
2. Description of premises (including number of bedrooms) 12
No. Fixtures
(Above basement): Water Closets a Urinals — Lavatories
Bath tubs / Showers / Kitchen Sinks / Laundry Tubs
Garbage Grinder List basement fixtures_
3. Water Supply b l c, 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
c%
various strata i l (
(sand, loam, clay , hardpan, roc , etc. --Use test pits.)
5. Elevation of highest ground water
(with reference to both present & future grade)
s
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-6 P t- Capacity below flow line J,O&--�3
Inlet and outlet arrangements T7-1FI?, y ��
Facilities for cleaning 121,?-A1hd 14- Distance from dwellings on same
property on adjoining property_L�
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 J P,7 ft.
Width of trench es__42_ft. , depth of broken stone or screened gravel JP � t
Stone or gravel will be covered by AgA , Distance between
(tar paper, salt hay)
trenches qPP. 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.
r
C�
I �
! O [3 #
`i i
oo
I �
i
r ,
M E'T, '
r