HomeMy WebLinkAboutSeptic New 00 Pleasant Valley Road (4) FEE
TO THE BUILDING DEPARTMENT Application No. LZ
TOWN OF SOUTH WINDSOR Date 7 "/
I hereby apply for permit to build a sewage disposal system for a
r;gbtw3awt Agsgat e=' �
(Residence , boarding house , hotel , etc.)
Owned by ° RI9-sticxete Aggregates Corp. of S. namor
GORR.
And located at moflea„t Valley Read
To be built by of
in accordance with detailed information stated
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) l?(future) 3.5
2, Description of premises (including number of bedrooms)
Mm—'s room — industTikl- P39nt
No. Fixtures
(Above basement): Water Closets 2 Urinals l Lavatories l
Bath tubs Showers 1 Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply y�®11 Kind of Well 6a dri,11-ed-11 tLfb-
(Public, well, spring, cistern)
Location of well and underground water piping 7Q ft., rmm h„jjAing UA r)
Method of obtaining or storing supply_purapv 90gal. tank
(Pulps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata q anA
(sand, loam, clay, hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water ,A ft
(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 50 gal.
Inlet and outlet arrangements IM helm grade
Facilities for cleaning to Distance from dwellings on same
property_ 7W st 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 50 ft-
Width of trenches-3. ft. , depth of broken stone or screened gravel l _ft.
Stone or gravel will be covered by tar xwDer . Distance between
(tar paper, salt hay)
trenches 12 ft, ft. Distance from water supply on same property 12o ft-
; 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 f9 F- A+ld
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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