HomeMy WebLinkAboutDrain Layers Permit 0491 Avery Street TOWN OF SOUTH WI N DSOR
DEP RTMENT OF POLLUTION CONTROL gip No.: '
*91 140 South Windsor, Connecticut
List No.: 9&;o"�.2-
DRAIN LAYER'S PERMIT �p 7
97
98A
Pursuant to written application,, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 491 14Y"tI &4dr'er Lc;-r 7 on the
EA-sr side, between GL01V W*o6 k*AA ♦ A f
at premises owned by &cc-a J. LEva4e., /9s
whose address is SA,44
and to V000, Lay House Drain, Repair House Drain, Lay Main, Other
for &164W 114
occupancy or use,
with a9.eyfr Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (oO". INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with& * A4-43T'C -ro .4 4.Arr.42AAj jeAlpw,►t Ar XrA 3 1+ q 7 A r A
Permit to be issued to WgLc-e /, AI-t S
the holder of Drain Layer's License No. "' 2.o Za*. Permit will expire on.,48 /-usr.,t 19'?f
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 4 AI ! f / icensed Drain Layer
" p• 49e ► Issued by
Tax Collector _
Permit Fee:. Paid $ _ p 4
INSPECTION: Check Number:
INITIAL a° (Sig)
FINAL ' (Sig)
APPROVED t' # � �. (Date)
Y._"`,,1�r (Sig)
r
INSPECTOR
A 4,
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Ar,Xd 7,' Application No.
TO THE BUILDING DEPARTMENT: l�/ESc�`t�� Date — Z Z- 19
A permit is requested for repair or construction o an individual sewage disposal system concerning which the
following information is sub fitted:
1. Owner of Property Address of Owner [i
2. Location of Propert,, � FA JT Lot. No. _
3. Type of Structure K2,6� r No. of Bedrooms
Lg (i)welling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 2— Urinals Lavatories Bathtubs
Showers_ Kitchen Sinks� Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /..2 �,1 Material of Septic Tank ( QJ�e4=9z
7. Soil Conditions: Type of Soil lam.. Maximum ground water table
(Sand, ravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width /z, Total i
Other
Signatu
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
0 0��
8 ; �
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9 •
C0 40 101'0C) S°
636 j
PROPERTY OF `` J A
StIEl�t� J'
NO. AVERY STREET SOUTH WINDSOR, CONN.
Being Lot No. 7 on map entitled "Plan of ORCHARD HEIGHTS Avery
Street - South Windsor, Connecticut Scale : 1 " = 40' May 20, 1965
Hayden L. Griswold C.E . Sheet I of 2"
Scale 1 " 40' ' -07
HAYDEN L. GRISWOLD C. E.