HomeMy WebLinkAbout1963-5-9 - 208 Dogwood Lane - Septic ApplicationTO THE BUILDING DEPARTMENT
���C��4.FEE 75 �,A �
Application No.
TOWN OF SOUTH WINDSOR 1 Date
I hereby apply for permit to build a sewage disposal system for a
(Residence, boarding house, hotel, etc.)
12db-2d Lul I Sol
Owned by1 T of
And located at
To be built by _�� of (� // G-*-t
in accordance with detailed information stated below.
Signed
(Applicant)
GENERAL INFORMATION
1 . Estimated population of premises (present)
(future) ✓I'
2. Description of premises (including number of bedrooms)��nz
No. Fixtures
(Above basement): Water Closets 42- Urinals
Lavatories f.
Bath tubs Showers. — Kitchen Sinks Laundry Tubs --
Garbage Grinder -- List basement fixtures 4'e,�zA,
3. Water SupplyKind of Well-y�.trt�-c
(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
(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 -I
Inlet and outlet arrangements
Facilities for cleaning f Cep Distance from dwellings on same
property /D `eL.sc , on adjoining property
Automatic Dosing Apparatus, if any (describe)
Soil Absorption Svstem
If cesspools, No. diameter ft.; depth below inlet ft.
If tile field or leaching trenches , total length is 5-40S , ft.�,
Width of trenches 'ft. , depth of broken stone or screened gravel! ft.
Stone or gravel will be covered by ADistance between
(tar paper, sat hay)
trenches ft. Distance from water supply on same property_;F�?
on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map Zi lice AL
System was designed by
Above information furnis
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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