HomeMy WebLinkAboutDrain Layers Permit 12 Ahern Drive TOWN OF SOUTH WI N DSOR
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DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN- LAYER'S PERMIT N? 914
It 119 .
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Oil is Ahm Lmq C L.r 9a! on the
side, between
at premises owned by ABdZ4A--JL- E�Lkjgo
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
forAffi $ i occupancy or use,
with * . Family Units, with acres.
Type.of Sewage to be connected under this permit:
SANITARY SEWAGE ( , INDUSTRIAL WASTES _( ), OR ( )
Connection will be made with—SIX TA—Ch ,tM ELM
Permit to be issued to m A. Loom
the holder of Drain Layer's License No._ Permit will expire on . 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for.street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid VIM Licensed Drain Layer
lCEG �� b Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
down of ft inbsor
Department of Pollution Control
SOUTH WINDSOB, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $...........1.0.00....... By .....Pippin....check...zto.......49Q8................................................................. Permit No. ...........7..1.-56................................
Date ...27......&o.temb.ex'.,....1.9.. .1.......
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ..XX or construction ......... of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property ..............Qedr.ic..4•....Rakdan........................... Address of Owner .............1 z...Ahern...L.an.e.......................................
2. Location of Property ........,S.aztle....................................................................................................................................................................... Lot No. .........95..............
3. Type of Structure .................D.ellin$.................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ........One .(1_),.„family....................................................................................
................
5. Number of Bedrooms ................................................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ...Existing........................ Material of Septic Tank Concrete
................................
8. Soil Conditions: Type of Soil .............................................................................................................................................................................................................................
(Sand, Gravel, Clay, etc.)
Maximumground water table ..............................................................................................................................................................................
9. If not served by public water supply:
Distance from Owner's well ........................................................................
Fromadjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test .........Repair...............................................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required ...................................................................................................................................................
13. Leaching System: Number of trenches ................................................ Length ................................................... Width ...................................................
Total ................................................ Other Mudded out..part 9f field and relid with new stone.„
14. Plot Plan Attached.
15. Layout Approved. ....................................................................
16. This permit expires .....2..7 Nau.emb.er..,....1.971.................................................
Note: Temporary repair allowable to home on route of sewer now inplanning stages.
Signature .............Richard...P.-....1'i.P1?,n. ....Jr.......N9-352M.)..........................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
..................................................................................................................................1. 19.................. By ................................................................................................................................................
Pollution Problem abated Date ...28...September, 1971
...... ............................... .....r.............................................................
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