HomeMy WebLinkAbout1962-6-11 - 14 Elizabeth Street - Septic Application!�:j 3A� 6
TO THE BUILDING DEPARTMENT
TOWN OF SOUTH WINDSOR
FEE
Application No. 7-9
Date (0 `//-wl y
I hereby apply for permit to build a sewage disposal system for a
(Residence, boarding house, hotel, etc.)
Owned by�g�,JMWZX of
And located at
il/Oyi✓� = G�,�'�� ice`
To be built by �� �✓jJ,�}}� [Q1 l�C.�f,( vfZZ2-.5-�iG
in accordance with detailed information stated belo
Signe
, (Applicant)
GENERAL INFORMATION
1. Estimated population of premises (present)/�/�y/GY (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 fixturesl 91111 �IAXY
3 . Water Supply
G �G Kind of Well
(Public, well , spring, cistern)
Location of well and underground water piping
Method of obtaining or storing supply,
4
(Pumps, tank' etc.:)
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
i/ / i' �� �,
Dimensions A� e Capacity below flow line �&
Inlet and outlet arrangement s,2!'
Facilities for cleaning'�-1 //��GE- 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 isle—
! ft.
Width of trenches ft. , depth of broken st ne or screened gravel ft
Stone Stone or gravel will be covered by Distance between
(tar paper, salt hay)
trenches f ft. Distance from water supply on same property
on adjoining property Q
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by C/"-
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.
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