HomeMy WebLinkAbout1963-6 - 1519 John Fitch Boulevard - Septic ApplicationFEE (Qaoo p/e/Lo <97 c/f
ING DEPARTMENT Application No.¢fg
SOUTH WINDSOR Date 6
I hereby apply for permit to build a sewage disposal system for a
,L/0TH,
(Residence,boarding house,hotel,etc.)
Owned by of way,We Mae/,cimm/r
And located at/§/9 ROUTE 5 \So..w‘nuosoa
To be built by U/OLL—‘w—g S/Luexzxf;5)?“W/LLIAM Kn y/Iiyé?f§.72
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in accordance with detailed information stated below.
Signed {j W
(Applicgnt)
GENERAL INFORMATION
1 .Estimated population ot premises (present)(future)
2.Description of premises (including number of bedrooms)
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
(sand,loam,clay,hardpan,rock,etc.-—Use test pits.)
5.Elevation of highest ground water
(with reference to both present &future grade)
Bath tubs Showers Kitchen Sinks Laundry Tubs
Garbage Grinder Li-st basement fixtures
3 .Water Supply .Kind of Well
(Public,well,spring,cistern)
Description of proposed system (Furnish drawings of same ,with p101
system including location,size ,grade and material of house sewer and loo
of ground or surface water drains ,wells and bodies of surface water.)
Septic Tank 'Cove.Dimensions (530 Ga Capacity below flow line
Inlet and outlet arrangements (Q )/
I 5
Facilities for cleaning 3 W Distance from dwellings on same
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property J5A ,on adjoining property 7§r‘/
,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 300 ft.
/Width of trenches 3"4‘/ft.,depth of broken stone or screened gravel yzi..L ft.
Stone or gravel will be covered by HA (7/.Distance between(tar paper,salt hay)//trenches [0 ft.Distance from water supply on same property 50
;on adjoining property
Secondary Treatment,if other than soil absorption.
Describe in detail and locate on map
System was designed by W R I..5/21/51 7—2:?
Above information furnished by W.L9.W
No discharge of sewage or sewage effluent into any watercourse should be permittedWithoutapprovaloftheStateDepartmentofHealthandStateWaterCommission.
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