HomeMy WebLinkAbout1963-6-21 - 110 Foster Road - Septic ApplicationFEE
TO THE BUILDING DEPARTMENT
TOWN OF SOUTH WINDSOR
Application No.
Date (: - Z/ - 6•._
I hereby apply for permit to build a sewage disposal system for a
(Residence, boarding house, hotel, etc.)
Owned by
so1.47-n.G': �O�u
of
And located at/b co^j^j
To be built by Cr: ��,�: = _" `o.t of C0A/n/
in accordance with detailed information stated below.
Signed
(Applican
e/-I�
GENERAL INFORMATION
1. Estimated population of premises (present) (future) 6
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 J7rz ,' v e,, If-1. l f Kind of Well 1-� e4 es 4 H oe.
(Public, well, spring, cistern)
Location of well and underground water piping xeatz a . r
Method of obtaining or storing supply_._ (',�F �'.9� --7`AA/t--
(Pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata 51447Vp r��,�i
(sand, loam, cla-� , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water
(with reference to both pres nt & 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 c JOpds
r O r F ,• �O Cf J
Dimensions -7 x )'- 6 Capacity below flow line c
Inlet and outlet arrangements
Facilities for cleaning b1u1w4(�r�,s� C-Qo� %stance from dwellings on same
property
, on adjoining property
Automatic Dosing Apparatus, if any (describe)
Soil Absor tion System
If cesspools, No. diameter ft.; depth below inlet ft.
If tile field or leaching trenches , total length is / 5 / 3 4l ft. Bois -
Width of trenches/ 2--'�50 depth of broken stone or screened gravel 11Z �- ft.
Stone or gravel will be covered by ,: j ; i . Distance between
(tar paper, salt hay)
trenches- Z e-A ft. Distance from water supply on same property�71
• - ; on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map 7� ° � V I H N
System was designed by / ' T r•°��i,7 0 `�
Above information furnished by_����
No discharge of sewage or sewage effluent ipto any watercourse should be permitted
without approval of the State Department of Health and State Water Commission.