HomeMy WebLinkAboutSeptic New 401 Slater Street 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
(Residence , )
Owned by
s
And located at�M�' / �� � Smarr
l
To be built by ''1' of
in accordance with detailed information stated below,
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
I . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets Urinals Lavatories ,-
Bath tubs Showers ?Kitchen Sinks _Laundry Tubs
�Garbage Grinder List basement fixtures_ 102ntz'4'..'
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3. Water Supply__ i.- Kind of Well
(Public, well, spring, cistern) S •
`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
various strata av�\
(sand; loam, clay, hardpan', ock, etc. --Use test pits.)
5. Elevation of highest ground water r
(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 arrangements
Facilities for cleanings illi')/t ance from dwellings on same
property l 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 1-1061 ft.
e�(
Width of trenches-2- ft. , depth of broken stone or screened gravel _ft.
Stone or gravel will be covered by Distance between
/ (tar pap salt hay) ..0 1trenches ft. Distance from water supply on same property `7,3
on adjoining property Q
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
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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.
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