HomeMy WebLinkAbout1962-6-11 - 20 Elizabeth Street - Septic ApplicationTO THE BUILDING DEPARTMENT
FEE
Application No.
TOWN OF SOUTH WINDSOR Date
I hereby apply for permit to build a sewage disposal system for a
(Residence, boarding house, hotel, etc.)
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Owned of Gl�.---
And located at LO% ' �y% �L/Z/��Ej"f/_ _ ST.
To be built bv,S7 . ,a/M,0s'OLY1 of
in accordance with detailed information stated below,.
Sign
(Applicant)
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GENERAL INFORMATION
1. Estimated population of premises (present)-- _ (future)__ 4
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
3. Water Supply �U/✓ /� _Kind of Well W
(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
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Dimensions �6 r��I � ' _Capacity below flow line
Inlet and outlet arrangements &-
Facilities for .cleaning/yf%N//6L/ Distance from dwellings on same
properi.y r'_ 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 ft.
Width of trenches o� ft. , depth of broken stone or screened gravel_ft.
Stone or gravel will be covered byr' Distance between
�/ (tar paper, salt hay) ,
trenches Y2- ft. Distance from water supply on same property a
on adjoining property _
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by
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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