HomeMy WebLinkAboutSeptic New 7 Pierce Road l, f 1�0463
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
r c c / e", c
(Residence, boarding house , hotel, etc.)
Owned b , of
And located at
L / C
To be built byT7�f��<j Iza. �� of
in accordance with detailed information stated below.
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION i
1. Estimated population of premises (present) (, (future)
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs�Z-Showers _Kitchen SinksLaundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply Kind of Well ,5 A`- ��/✓
(Public, well, spring, cistern)
Location of well and underground water piping
Method of obtaining or storing supply. �
(Primps , tank, etc.)
4. Character of soil at proposed location of leaching st m, including depths of
various strata
(sand, loam, clay , hardpan, ock, 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 �G U Capacity below flow line
Inlet and outlet arrangements a '
Facilities for cleaning Dis ance from dwellings on same
property on adjoining property �� > v�
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 If,, ft. )-:-I
Width of trenches—), ft. , depth of broken stone or screened gravel ft.
Stone or gravel will be covered by . Distance between
(tar p per, salt hay)
trenches 2 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 /j/�rZtvi �
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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gown of South Windsor
TOWN HALL
South Windsor, Connecticut
DEPARTMENT OR