HomeMy WebLinkAbout1962-6-21 - 1249 John Fitch Boulevard - Septic ApplicationFEE
TO THE BUILDING DEPARTMENT Application No.é!
TOWN OF SOUTH WINDSOR Date 4 /a //é 2
Tag/(4WIherebyapplyforpermittobtri’rd a sewage disposal system for a
\5'70‘/?/f {gwaiéw’éy fraiewwauds 4}
(Residence,boarding house,hotel,etc.)
Owned by ‘t i ////Z/7/9/r/of if o ,v93 [Ma/J v /p
And located at [Rg off is
To be built by of
in accordance with detailed information stated below.
Signed ¢172Zo~”9/612”V (Applicant’§//
GENERAL INFORMATION
l .Estimated population of premises (present)(future)
2.Description of premises (including number of bedrooms)A/i/a/L/é’
No.Fixtures
(Above basement):Water Closets Urinals Lavatories
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 \f/q 4/d /’/%/
(sand,loam,clay ,hairdpa/n,rock,etc.-—Use test pits.)
5.Elevation of highest ground water ‘5’r/L’7</
(with reference to both present &future grade)
Bath tubs Showers Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures
3.Water Supply pa é /-/'C Kind of Well
(Public,well ,spring ,cistern)
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 a.C nag ”Capacity below flow line /‘7¢”U
Inlet and outlet arrangements Ll /T;?/4/7 1%/'
Facilities for cleaning Nwn/MHZ Distance from dwellings on same
property QKJ f”;‘—,on adjoining property ‘7f Ff
Automatic Dosing Apparatus ,if any (describe)
Soil Abs orption System
If cesspools ,No.;diameter ft.;depth below inlet ft.
If tile field or leaching trenches ,total length is \fo ft.
Width of trenches g2 o ft.,depth of broken stone or screened gravel g ;&ft.
Stone or gravel will be covered by bvv W/zw/‘fé //~)gwf/7 .Distance between
(tar paper,salt hay)trenches ft.Distance from water supply on same property
;on adjoining property
Secondary Treatment,if other than soil absorption.
Describe in detail and locate on map
System was designed by w @rs «j;xz MA/
Above information furnished by W M'fl
No discharge of sewage or sewage effluent into any watercourse should be permittedwithoutapprovaloftheStateDepartmentofHealthandStateWaterCommission.
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