HomeMy WebLinkAboutSeptic Repair 00 Woodside Drive (7) 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 , boarding house, hotel , etc.)
Owned by A CRC S '�� �� C of J a i Y� c�' 6 If
And located at J 0 � 7 S � �� �� . S � ������'�y �
To be built by -eS' of
in accordance with detailed information stated below.
Signed t
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATIONN
1 . Estimated population of premises (present) "l (future)
2. Description of premises (including number offbedrooms)
No. Fixtures j
(Above basement): Water Closets Urinals Lavatories /
Bath tubs-- _ Showers _Kitchen Sinks _Laundry Tubs
Garbage Grinder List basement fixtures Lj ,H Lle
3. Water Supply 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 /I tv
- -- ---- - --- sand loam--cla hardpan -rock-- eta. =Use test its.
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
Dimensions Capacity below flow line Rp ep pw/—
Inlet and outlet arrangements
lee
Facilities for cleaning 6f' 9/94 ' 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.
1,24.
If tile field or leaching trenches , total length is ]L-/� ft.
Width of trenches eyf ft, depth of broken st e or screened gravel J ft.
U N9ReA1 2
Stone or gravel will be covered by �lQ Distance between
(tar paper, salt hay)
trenches ft. Distance from water supply on same property u
f U ' 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_ o z d
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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