HomeMy WebLinkAboutSeptic New 661 Strong Road FEE
TO THE BUILDING DEPARTMENT Application No.—
TOWN OF SOUTH WINDSOR Date—"
G�
I hereby apply for permit to build a sewage disposal system for a.
(Residence , boarding house, hotel , etc.)
Owned by of Cp� , �
And located at
To be built by/Z?W',., of ,
in accordance with detailed information stated below.
Signed_4,���x
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets Urinals Lavatories 2
Bath tubs- Showers Kitchen Sinks_ _Laundry Tubs
Garbage Grinder List basementfixtures
3. Water Supply QA Kind of Well—
(Public, well, spring, cistern)
Location of well and underground water piping ,
Method of obtaining or storing supply
umps , tank , etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata 4 9!-j
(sand, loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water f* e? / x 22:1A
(with reference to both pre nt & future rade)
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 /BL-)D
Inlet and outlet arrangements Ot Q [�
Facilities for cleaning r,r /.s Distance from dwellings on same
property p on adjoining property 7 ,6
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 h ft.
Width of trench es__A,, _ft. , depth of broken stone or screened gravel 41- ft.
Stone or gravel will be covered by Distance between
(tar paper, salt ha )
trenches ,c;,,. ft. Distance from water supply on same property 3
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.