HomeMy WebLinkAbout1964-4-10 - 101 McGrath Road - Septic Application and As BuiltFEE
TO THE BUILDING DEPARTMENT Application No.W/
TOWN OF SOUTH WINDSOR Date f)?”/0,’7é§1.
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I hereby apply for permit to build a sewage disposal system for a
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(Residence ,boarding house,hotel ,etc.)
in accordance with detailed information stated below.
tit/w Signed
(Applicant)..................'x‘rjixéwggg ...............
GENERAL INFORMATION
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1.Estimated population of premises (present)(future)
2.Description of premises (including number of bedrooms)[I
No.Fixtures
(Above basement):Water Closets Urinals Lavatories
Bath tubs l Showers Kitchen Sinks Z Laundry Tubs
Garbage Grinder Z2/Q&List basement fixtures
3 .Water Suppl ind of WellyK
(Public,well,s ,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 s99 v7
(sand,loam,clay ,hardpan,rock,etc.--Use test pits.)¢
5.Elevation of highest ground water
(with reference to both present &future grade)
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Owned by 1
And located at '7 #J’
To be built by 6:agd/{f/V of %’/Va(fwey,7/8 C5yWM./
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 yéw XXW’
U
Inlet and outlet arrangements
/Facilities for cleaning /@g 3"?Distance from dwellings on same
property //1j’”,on adjoining property
Automatic Dosing Apparatus ,if any (describe)
Soil Absorption System
If cesspools ,No.;diameter ft.ft.;depth below inlet
If tile field or leaching trenches ,total length is /6/p?"ft .388 "
Width of trenches z ft.,depth of broken stone or screened gravel égi ft.
Stone or gravel will be covered by .Distance between
(tar er,salt hay)trenches M ’ft.Distance from water supply on same property
;on adjoining property W "’/Secondary Treatment ,if other than soil absorption.
Describe in detail and locate on map t2
System was designed by 7T é (
Above information furnished by
No discharge of sewage or sewage effluent into any watercourse should be permittedwithoutapprovaloftheStateDepartmentofHealthandStateWaterCommission.