HomeMy WebLinkAboutSeptic Repair 47 Valley View Drive i
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FEE
TO THE BUILDING DEPARTMENT Application No. �'��
TOWN OF SOUTH WINDSOR Date 8—La
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house , hotel, etc.)
Owned by U4 of
/LS .
And located at �C
To be built by of
in accordance with detailed information stated below.
Signed �Z/
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms) �ec.�,,
No. Fixtures
(Above basement): Water Closets C Urinals Lavatories
Bath tubs / Showers / _Kitchen Sinks Laundry Tubs i
Garbage Grinder List basement fixtures
3. Water Supply P,,U c Kind of Well
(Public, well, spring, cistern)
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
(sand, loam, clay , hardpan, rock,,(/etc. --Use test pits.)
5. Elevation of highest ground water
(with reference to both present & future grade)
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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 A2�5y V:::!! J
Inlet and outlet arrangements kl-L=-2
Facilities for cleaning 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 511'3 ft.
Width of trenches iL ft. , depth of broken stone or screened gravel_Z2ft.
Stone or gravel will be covered by Distance between
(iwr page , salt hay)
trenches F 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.
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