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HomeMy WebLinkAbout1962-5-11 - 186 Dogwood Lane - Septic ApplicationFEE TO THE BUILDING DEPARTMENT Application No. TOWN OF SOUTH WINDSOR Date I hereby apply for permit to build a sewage disposal syst for a (Residence, boarding house, hotel, etc.) Owned b , a C'- , _) SP of , And located at To be built by F of E t c e d d c K �• __ in accordance with detailed information stated below,. Signed Laallc (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1. Estimated population of premises (present) [7 (future) 2. Description of premises (including number of bedrooms) r_� _ �r �_.i P_ No. Fixtures (Above basement): Water Closets____ __Urinals _Lavatories Bath tubs I Showers___— Kitchen Sinks I Laundry Tubs Garbage Grinder List basement fixtures 3. Water Supply_ Kind of Well C. �. , wt ►., j (Public, well, spring, cistern) Location of well and underground water piping__ A�a� 1� [__rya ,,. c l Ya 1-i c I fP Method of obtaining or storing supf)ly, (Pumps, tank, etc.) 4. Character of soil at proposed location of leaching system, including depths of various strata ---�01 ,Act (sand, loam, clay, 5. Elevation of highest ground water , rock, etc. --Use test pits.) (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 �X S' X Capacity below flow line C1 OD G r Inlet and outlet arrangements A 1 / c o,r �c ►�� � � -� �� r `� '� (� � �{,�a � �� lit Facilities for cleaning ,3 c c 4, (- ;r�C Distance from dwellings on same property , iv, / D , on adjoining property Automatic Dosing Apparatus, if any (describe) Soil Absorption System If cesspools, No. diameter ft.; depth below inlet ft. /So If tile field or leaching trenches , total length is_ft. 02,,6r, Width of trenches__;g- ft. , depth of broken stone or screened gravel /��ft. Stone or gravel will be covered by „ Distance between (tar pape , halt hay) trenches - AA , of , /D ft. Distance from water supply on same property on adjoining property Secondary Treatment, if other than soil absorption. Describe in detail and locate on mazy System was designed by i Above information furnished by �_ F; 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 vt� E. oXV Lot Avew kbv5 z SCwcr i a w y e rvL.^ a a�c�i ion J U-l 9 9 S— lu jA . __�•• `� i'�' "F-ram * .. �. i t• } : PINE Ktv �r Todwood �-`F— y 90 r 17' yTa 0