HomeMy WebLinkAboutDrain Layers Permit 905 Foster Street {
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Deparbment of Pollution Control
SOUTH WINDSOI, CONNECTICUT a
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System s
FeePaid $.../.D.......................... B Y .,.....f�/.. *............................................................................. Permit No. ... /-"' ............,.............,...... .
Date ...a.z.Av�...g�....1�7�..... rf
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Pursuant to written application, permission is hereby granted to the Licensed.Drain Layer named herein_
for repair ....X. or construction ......... of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property +IfAcT ..... 9� .............................................. Address of Owner ..9.. S".I ,Sing ...4 .�, '.r
2. Location of Property*Ar..�e..aw*v....E�.�en�y.tl�rV.....�..t�/��t.ec�..,�4�►.A.S........................�..:................... Lot No. .......................
3. Type of Structure ..
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ...C,kv...4.t1--0-,�,tr..4A..Y................................................:.
......... F
5. .Number of Bedrooms .7.-HA.tr.or ta.)
` 6. Average Daily Flow ................................................... -
Manufacturer and
7. Liquid Capacity of Septic Tank .j. ,., ..A,60,4.4..,,, Material of Septic Tank .a#rW..L�+.�tN...r! ?F ......... '
8. Soil Conditions: Type of Soil .................................... 4 "
........
(Sand, Gravel, Clay, etc) Y
Maximum ground water table ........................................................................... i g
9. If not served by public water supply:
Distance from Owner's well .........7.4C....f...7.......................................
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From adjacent wells ......... ........................ .
10. Distance to nearest water course, drainage ditch, storm drain or embankment ............................................' .xZ7. ,
11. Percolation Tests: Time for 1" drop in soil test ../ ,arRRi�t........................................................................................................................ .........
Classificationof soil ............................................................:.............................................................................................................. ...... ":.
12. Mfnirqum square feet of effective seepage area required .................... w:
13. Leaching System: Number of trenches ................................................ Length ................................................... Width ............................
Total ....................................... Other ...7. .o....cz)...... 5...........................................................: .
..... .
14. Plot Plan Attache ' ....................................
15. Layout Approved _ ..
16. This permit expire, .. 3..04a,P4ffg /-.9..7.1................................................. 4
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(Licensed Drain Layer)
21 P
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ns a ion n ompletecT Inspected and Approved in accordance with State Public Health Code and Local Ordinances
19 By �.,.....
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Pollution Problem abated Date ............. -+{„
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- --NOT-E-S SOUTH WINDSOR POLLUTION CONTROL
LOCATION S -c-Ir
OWNER W c.-r ee c s�
TYPE OF WORK Se ic
DATE ,b i 9 -7 PERMIT PIPE
INSTALLER PP/N - 3S2 a
INSPECTOR t ' DRAWN BY f,�<