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HomeMy WebLinkAbout1963-6-25 - 249 Felt Road - Septic ApplicationTO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR FEE Application No. Date 6 — L S-4ra.3 I hereby apply for permit to build a sewage disposal system for a (Residence, boarding house, hotel, etc.) Owned by of And located at To be built by of 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) [ No. Fixtures (Above basement): Water Closets_Urinals. L Lavatories_ Bath tubs-__ 1` _ Showers l Kitchen Sinks_Laundry Tubs Garbage Grinder`List basement fixtures 3. Water Supply__ Kind of Well (Public, well, spring, cistern) ^� Location of well and underground water piping. Method of obtaining or staring, s , tank, etc.) 4. Character of soil at proposed location of leaching system, including depths of various strata _ 1�6, 1 i (sand, loam, clay, hardpan, rock, etc. --Tfse test pits.) 5. Elevation of highest ground water_ /f (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 / C� Inlet and outlet arrangements Facilities for cleaning�stance from dwellings on same property f _ _ on adjoining property 2 or - 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 a 4t U ft . Width of trenches;Z-_ft. , depth of broken stone or screened gravel �ft. Stone or gravel will be covered by _4� .. Distance between (tar paper, salt hay) trenches J `ft. Distance from water supply on same property i on adjoining property 2 07- Secondary Treatment, if other than soil absorption. Describe in detail and locate on map System was designed by L�Zzts Joi 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. w "O.evle ;tlew rS 'or 249 weoce Loc 1 f� a9