HomeMy WebLinkAboutDrain Layers Permit 617 Foster Street �4
N
r (Town on t�t�1�r
Department of Pollution Control S
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
a
k�
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid$............1Q!.QQ...• By Check...Number:.Z .Z. ...................................... ............................. Permit No.7-224Ui.......................................
,:. Date ...%Y-14 Nt -4.71. 9-7 :.....
Pursuant to written application,
rain Layer named, herein,
for repair .: or construction
of an individual sewage disposal system
Permission is hereby granted to the Licensed D concerning which the following
information is submitted:
s^ ; 1. Owner of Property ............Zdwa ..St111weR x'.......................:............ Address of Owner ..... ��
2. Location of Property .....S.a no..................... k
Lot No.
3. Type of Structure ..............DNg11.3.. ,g................
Dwe•11 n .... ......... ........ ..............................................................................:.
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ..... One„•(1,)„ �Pamil�►
x.
5 Number of Bedrooms .:. P�n.e�.� . )..... O.n .F..ami•Ly ......... F:
6. Average Daily Flow ............................................ ¢;
7. Liquid Capacity_ of Septic Tank ...... Et,.7' Manufacturer and
} " •........ Material of Septic Tank
? i. ;
} � 8. Soil Conditions: Type of Soil •�""•• '� ���-�tc .�e1
..........................
' (Sand, Gravel, Clay, etc.)
Maximum ground water table ..................... '"
9. If not served by publicwater supply:
Distance from Owner's well ...?5...feet....7.5.....•fee.t.........
From adjacent wells .........................? ...i'ee.t.... .......7.5.....f.e e.t.
n10. Distance to nearest water course, drainage ditch, storm drain or embankment ..................................................................
11. Percolation Tests: Time for 1" drop in soil-test ......,..
__ .�T>:� ......................................................................................:......
Classification of soil .........................
..... ...............................................................12. Minimum square feet of effective seepage area required 377 ,. . fP t:
13. Leaching System: Number of. q q '". � '? •41• hI.d
't lit�sc b sl..h.e.d............... Length ......4.00ftt.................
Total hf.z ,i g Width ...........12 Tit~
�... ft$::,.... Other .................
14. Plot Plan Attached. ... ................................................. ......... h.
15. Layout Approved. ............. � .
........................
.
16. This permit expires .........1.1...Jay........
.............................. :... ...
Signature ..........Act=...5.!t....Wi ew..> ;.....(w9- ,5 F ;r=Es
t,m
(Licensed Drain Layer)
ra `
Installation Completed, Inspected and Approved in accordance.w-ith_S,tate.Public-health-code-and-Local-O • a:
w
uu..... 19 By ...............:............
<01!
-1`011ution Froblem abated Date ......... ........16 ..h:��,vr .I.r?;7?......
A N
..7.:.y 4
�S��ctdr U'
-
..
••—er
V. y
ilk
m}.c;.r +a5yr3 rr.�4 x aJr
p
TOWN OF 0lT
B U H WINpSOR
ILDING DEPARTMENT
Souk Windsor, Connecticut
Application for Permit to .
Repair- lndivid*UQ •$ewa9e Disposal S
TO THE BUILDING DEP System
ARTMENT: Application No.
following `4 permit is requested for repair or construction of an individual Date
g information is submitted:
vldual sewage disposals Is
1 Owner of Property. i Ystem concerning c g which the
2 Location of Property Address of Owner_ /
3• Type of Structure
Lot. No.
4• Number of to
or Persons to<OCCU(Dwelling,comtnere, Bull
g,store,etc.) No. of Bedrooms_
5. Plumber occupy Premises
g Fixtures: Water Closets
Showers Urinals
--,�_ Kitchen SinksLavatories
6• ' Liquid Ca Laundry Tubs -"� Bathtubs•_1,
Capacity of Septic Tank n try "�— Garba e
g Grinder
7• Soil Conditions: Material of Septic Tank— Other �.
Type of Soil =�• a,a
(Sand Gravel,Clay,etc.) Maximum 8• If not served by public ground water
water supply: Distance from table
s• Distance to nearest Owner's well `'-f
water course, drainage —from om adjacent wells
10: Percolation T diteh, storm drain or Tests: Time for 1" embankment
drop in soil test 'IL Minimum %� ;
square feet of effective seepage "—`------Classification
12. Leachinsystem: p ge area required of soil
g Number of trenches
Other Length
Widt
Tota d i
Signature=
Sketch
sfiowing oli minimum t censed netaller)
distances :and other details required:below) _
3y�
�Xrsrr.�
1 A?A
`i
3, 30,
'ermit Issued r
By
[stallatibn:Coinpleted,Inspected ani
Approved ��
19 � By
t
N
D,etrE w-
- Yr
__ __t3 Apt P �►'\ i ', � "'���� vy
!I
0
�t
/Zr
A
AROAF/ary LI NO-,QPP.ee1C .r Ar,,Q y
A6,06e 7-11 Ole 640wA,elb Se Nwml it
T t osr�.e ,one E�
NOTES Scale = 40' in 1" approx. SOUTH WINDSOR POLLUTION CONTROL
S T D B LOCATION 617 Foster Street
A 30.0 33.0 OWNER Edward Schweir
B 27.0 34.0 TYPE OF WORK Septic Repair
DATE 05-12-72 PERMIT 72-23 PIPE4" O.B.
INSTALLER Adam (W -206 )
INSPECTOR ME DRAWN BY ME