HomeMy WebLinkAboutSeptic Repair 00 Woodside Drive (8) 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 t_,-.-ems- 2 of
And located ateu �,,:.,�,
To be built by a.-Y��� ,cP of
in accordance with detailed information stated below.
Signed ,-1� � 7,r-
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms) Z
No. Fixtures
(Above basement): Water Closets Urinals Lavatories /
Bath tubs / Showers 1 Kitchen Sinks / Laundry Tubs
Garbage Grinder List basement fixtures e::a:�
3. Water Supply / Kind of Well
(PAlic, 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
— - -------- - --
san - oam,-ciay;hardpan,--pock -etc.==U-se tesf pifs.) -
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 l G
Inlet and outlet arrangements 4ELF s
Facilities for cleaning�C -�_�...,�cc Distance from dwellings on same
property �� t _ 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 ft. , depth of broken stone or screened gravel ft.
rvT(.�-c.lat4
Stone or gravel will be covered by :Z,,,N . Distance between
(tar paper, salt hay)
trenches-(-, �f rr�:� _ ft. Distance from water supply on same property /0 1 j "7" .
on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map /0 e' Z"q
System was designed by lr C/z i'g- �� ;J
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.
THIS MAP FOR MORTGAGE PUPPOSFS ONLY
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