HomeMy WebLinkAboutSeptic New 00 Saginaw Street (2) FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date Z —2, -c-
I hereby apply for permit to build a sewage disposal system for a
(Res ence , boarding house, hotel , 'etc.)
Owned by -AAjr eFa Z j gg,5,- i�o of ,¢ T
And located at a / /
�h AVesr cY4Gs
To be built by ,pA, of
in accordance with detailed information stated below.
Signed2 „ti z7
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms) eu.v
' AGn
No. Fixtures
(Above basement): Water Closets Urinals Lavatories l
Bath tubs_ Showers _L_Kitchen Sinks�_Laundry Tubs
Garbage Grinder List basement fixtures ;,, „0�4
3. Water Supply oczrLL Kind of Well ��-x-� ►v LL
(Public, well , spring, cistern)
Location of well and underground water piping �z- ,�o n, �,¢, ,,,�j—„ if
Method of obtaining or storing supply
(pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata „ -V,_-L
(sand, loam, clay, hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water li5- t
(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
Inlet and outlet arrangementsy� �
Facilities for cleaning f Distance from dwellings on same
property 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 ZJ ft.
Width of trenches ,� ft. , depth of broken stone or screened gravel _ft.
Stone or gravel will be covered by Distance between
(tar paper�t hay)
trenches 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.
�� J. M. R1EsTE fiY
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SAG tNAW STRE �'
PROPOE
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SAGA
ON S SOUTH WINDS
.reby certify that this COD 0 ,