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HomeMy WebLinkAboutSeptic Repair 00 Woodside Drive (3) FEE TO THE BUILDING DEPARTMENT Application No. TOWN OF SOUTH WINDSOR Date 5—"2 '"�.3 I hereby apply for permit to build a sewage disposal system for a (Residence , boarding house , hotel, etc.) Owned by Le of And located at To be built by of S in accordance with detailed information stated below. © _� ' Signed � `-� / ' 6 0�� (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1 . Estimated population of premises (present) (future) 2. Description of premises (including number of bedrooms) , Q-0' --- 3 r.&R J) No. Fixtures (Above basement): Water Closets Urinals Lavatories Bath tubs ( Showers % Kitchen Sinks Laundry Tubs -- Garbage Grinder _ List basement fixtures 3. Water Supply_ y ..�Qt cJ 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 S �� (sand. loam-, clay , hardpan, rock, etc. -Use test pits.)_ 5. Elevation of highest ground water (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 k le� 's ' Dimensions Capacity below flow line 9®a I, / Inlet and outlet arrangements Facilities for cleaningCf.,zly,-rof 1'.9J'C Distance from dwellings on same property /a _7 , 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 ft. Width of trenches _!�l, ft. , depth of broken stone or screened gravel ft. Stone or gravel will be covered by %-2?A Z!-' fx- Distance between (tar paper, salt hay) trenches F7, .ft. Distance from water supply on same property ]D 4!7' 1/R/'c on adjoining property Secondary Treatment, if other than soil absorption. Describe in detail and locate on map a System was designed by £(L (L 5 T7� o Above information furnished by..,'� i 77. 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. 1 v v � i M a �z• �1Gt{114t111l1i11J1i/ir::� � �,.Z `� r L , i 14, ��`c,✓�4�:r j�'1"� ��r��, �;��a� ..rt�' Tim' �S•�/s°�"-T'S'�✓'' �,.�a�,d'�� J`+''' i f ✓�7/9v .3 f � Y�