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HomeMy WebLinkAbout1962-6-11 - 23 Elizabeth Street - Septic ApplicationFEE TO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR Application No.� Date I hereby apply for permit to build a sewage disposal system for a (Residence , boarding house, hotel, etc.) Owned by /ate 11�/IL� . G / sa. witiv� And located a,� To be built btSo . Evr*a� rowfi��C7�tlN of YTTrC C� _ in accordance with detailed information stated below., Signed (Applicant) GENERAL INFORMATION 1 , Estimated population of premises (present) / f�N%�C-`�(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 fixtures _4o2(J/�tJ ok?/ CdA1A1&r7X4j1b* ' 3. Water Supply _ 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_ _­ _____ `_ T (sand, loam , clay , hardpan, rock, etc. --Use test pits.) 5. Elevation of highest ground water (w__ ith 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.) Se tic Tank Dimensionswle Capacity below flow line Inlet and outlet arrangements4!?f�� 4.c . fI[JL�� /7 Facilities for cleaning4 —K-/- t Le Distance from dwellings on same r property_ I _ 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 . II 1 Width of trenches ,�6 ft. , depth of broken stone or screened gravel r ft. dvirF.9Tfd ���� Stone or gravel will be covered Distance between L (tar paper, salt hay) 1 trenches 6 7ft. Distance from water supply on same property Q i ; on adjoining property 7 G Secondary Treatment, if other than soil absorption. Describe in detail and locate on map System was designed by-ZWLllAl Above information furnished by No discharge of sewage or s-tswage effluent into any watercourse should be permitted without approval of the Stake Department of Health and State Water Commission. L- 4-/10 /1 i r�:- PRIMU$ & WELTi FRGIMENltS GloslonhwYo Conn. A,�3 �-:L-iZ.avt;,,ra-r" s-r Pr. S.T FOUNOAYION. CNECKID DwY[-' - 4 [l - 6 Z @CA" S ` �, P�� CERTIFIED SUMSTANT1ALLY CORRjtCT r` 51G*1ltY ci �� ��'� c� }>fATIE � �" �� •` � 'Z„ iliM!■