HomeMy WebLinkAboutSer Repair 35 Woodside Drive FEE
TO THE BUILDING DEPARTMENT
Application No.
TOWN OF SOUTH WINDSOR Date 6--7,,f G.3
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house, hotel , etc.)
Owned by f 1aN,(' 1Q_ of . J , j P R
And located at �/J S
To be built by 0 f,I ej _ of
rill �d�Z
in accordance with detailed information stated below.
Signe
(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__
Bath tubs- Showers ( Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures_ (J,q t';,vep
3. Water Supply_/2 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 16
(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
Dimensions Capacity below flow line
Inlet and outlet arrangements ��
f�42
Facilities for cleaning o- Z!�Mk 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—x4p ft.
Width of trenches—�L_ft. , depth of broken stone or screened gravel--L _ft.
Stone or gravel will be covered by Distance between
(tar paper, salt ay
trenches ft. Distance from water supply on same property
�4 ZZ on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map /-�Z�,��j
System was designed by f Iq E- J 'qq
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.
A i .nry ;NIP
�SSY
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