HomeMy WebLinkAboutDrain Layers Permit 21 Norma Road . o TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.: _ 14
South Windsor, Connecticut
List No.: _ 5- �.1 7!
DRAIN LAYER ' S PERMIT NO 861
itltite -, 1975
_
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 21 mans and L70) on the
most side, between 1setor Cil& mad Fa ••mod Drir�
at premises owned by mans Nortlif to & Alice .
whose address is ear
and to.. X Lay House Drain, Repair House Drain, Lay Main, Other
for !' i occupancy or use,
with an* Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( INDUSTRIAL WASTES ( ), OR
Connection will be made with_mmdnnh 3.444"d ..tom
Permit to be issued to Adko 1=11yal
the holder of Drain Layer's License No."ti-W Permit will expire on05 3U2,V 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 06-05-75 Licensed Drain Layer
Aftsot No* 2" Issued by 14. 'iYeaW 8t3eed
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL `} (Sig)
. ,,
FINAL (Sig)
APPROVED— ; a (Date)
3
' (Sig)
INSPECTOR
TOWN OF SOUTH WI N DSOR _
BUILDING DEPARTMENT
y �
' South Windsor, Connecticuty—
Application for Permit to Install or a air Individual Sewage Disposal System
Application No. a'v--2a2-0^/
TO THE BUILDING DEPARTMENT: Date 19—ZO
A permit is requested for •e ai r construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of PropertyVRA7/A/ /t®12,e/S Address of Owner_A-/ /�o2,--4 �OA 1>
2. Location of Property 5~e- Lot. No.
3. Type of Structure Lb wE"IAI No. of Bedrooms .3
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises G�ntE ci! Gi9�9>ty
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 401,Y1N Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well 7.5,FT t from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches enl E elf Length SG Fi Width,.S FED Total/ar Sq FT
Other
Signature— /- -I� �fJs�e
�j (License n�Iailer,
@ �f1RA /a r1^1 �Gv�— 331o963r�
(Sketch showing all minimum distances and oth r details required geelow)
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Permit Issued �1 �u^!F 19?4 By /�E<�01041210S .);t
Installation Completed, Inspected and Approved 19 76