HomeMy WebLinkAbout1964-4-9 - 111 McGrath Road - Septic Application and As BuiltFEE
‘4.a.:*
TO THE BUILDING DEPARTMENT Applicatgon No.
a fy/Z’
TOWN OF SOUTH WINDSOR Date 4M”9,mm’/
I hereby apply for permit to build a sewage disposal system for a
Wei/E/evacs
(Residence boarding house hotel etc)
6mm!/h(of §/3cx ?§6/}?g9M’r r"
Z 5 m;(Kafé m/
To be built by of
Owned by ‘
And located at /&
in accordance with detailed information stated below.
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(Applicant)
GENERAL f3 INFORIVIATION
Estimated population of premises (present)(future
Descrlption of pr mises (including number of bedrooms)”a?§
new”
No.Fixtures
(Above basement):Water Closets Urinals Lavatories
Bath tubs l Showers Kitchen Sinksl Laundry Tubszzggv://?"‘?HrqGarbageGrinderl?.List baseénwent fixtures \l
3 .Water Supply g Kind of Well
(Public,well ,spring,stern)
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 §M
(sand loam clay hardpan rock etc —-Use test pits.)
5.Elevation of highest ground water A?(
(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 ywég’/%’€“‘J—
Inlet and outlet arrangements
Facilities for cleaning //(%Distance from dwellings on same
property /a /f//,on adjoining property
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 Agénv ft.Z7&"
Width of trenches 2’ft.,depth of broken stone or screened gravel /é'"ft.
Stone or gravel will be covered by My .Distance between
(tar p¥per/,salt hay)trenches /&"ft.Distance from water supply on same property/47
;on adjoining property
Secondary Treatment,if other than soil absorption.
Describe in detail and locate on map J
System was designed by I
‘
M W M
Above information furnished by 7:/ém/v 2 14k
No discharge of sewage or sewage effluent into any watercourse should be permittedwithoutapprovaloftheStateDepartmentofHealthandStateWaterCommission.