HomeMy WebLinkAbout1962-6-11 - 15 Elizabeth Street - Septic ApplicationFEE
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TO THE BUILDING DEPARTMENT
TOWN OF SOUTH WINDSOR
Application No.
Date to
I hereby apply for permit to build a sewage disposal system for a
-11
(Residence, boarding house, hotel, etc.)
Owned by4Lof
And located atLGl
To be built bl,�y11f��"��/[flT'roof IJ�TT�G�
in accordance with detailed information stated below
Signed
(Applicant
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms)______________
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No. Fixtures
(Above basement) : Water Closets--':� Urinals_ _Lavatories 12-
Bath tubs / Showers Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply /Olf%�G/G 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
(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 �� X Capacity below flow line
Inlet and outlet arrangement�LL r
Facilities for cleaning4VA/y6r1-L% Distance from dwellings on same
property,
_ , on adjoining property.
Automatic Dosing Apparatus, if any (describe)
Soil Absorption vstem
If cesspools, No. diameter ft.; depth below inlet ft.
If tile field or leaching trenches , total length isY ft .
Width of trenches 'f . , depth of broken atone or screened gravel ft.
Stone or gravel will be covered by Distance between
r� (tar -,Paper, salt hay)
Drenches / �2 ft. Distance from water supply on same property
_ ; on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on inap
System was designed by
Above information furnished by
No discharge of sewage oi-e-e"wage effluent into any watercourse should be permitted
without approval of the State Department of Health and State Water Commission.
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PRIMUS & WELTI ENGINEERS
Glastonbury, Conn.
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FOUNDATION CHECKED
DATE
SC ALE C}'
CFRTIFIED!lJsSTANTIALLY C011ht0
SIGNED
DATE.
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