HomeMy WebLinkAboutDrain Layers Permit 875 Main Street �own of Oo* in'raiu
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $..None................... By
.............................................................................................................................................. Permit No. ...7.1-64.......................................
Date 20...O9tober.a.....1.97.1..................
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 ............Town of South Windsor.,..,.. Address of Owner .....�.4.0 Sullivan Avenue
2. Location of Property .......8.7.5 Main Street Lot No. .....
.................................................................I........... ...............
3. Type of Structure .................C.QMMUni.ty....Ha�-�....amil.ding...........................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ................................................................................................................................................................
5. Number of Bedrooms ................................................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ...1500..9a119n.............. Material of Septic Tank Richards - concrete
.......................................................
8. Soil Conditions: Type of Soil .........Coars.esand
(Sand, Gravel, Clay, etc.)
Maximumground water table ..............................................................................................................................................................................
9. If not served by public water supply:
Distance from Owner's well .75....f e.e.t....plus...........................
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................................................................................................................I...........
................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required .... . . .. .
13. Leaching System: Number of trenches ....Three,. ...).... ...... Length .....21.6 feet................. Width .3....Q....feet.....................
Total ...648....sc�...f..t.......... Other an.e....(1.).....1.40.Q.-.ga1�,Qn pr.ecast..dry...well......................................
14. Plot Plan Attached. ........Yes...................I...........I...........
15. Layout Approved. ..............Yes...........................................
16. This permit expires ...........M...��jFX...3i 7Q.....,.. Q....Deceml er, 1971
17. System to be installed per accepted proposaland drawing dated 22 September, 1971.
18. Town to be billed by contractor in amount of $960.00 upon acceptance of work.
Signature ....A.d=...4.,. .Wisniewski.....(W9.-.359..812.)..................................................................
(Licensed Drain er)
U
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.................................................................................................................................... 19.................. By ............r...............................................................
......,........................................
.................
2 _
Pollution Problem abated Date 2?-....Qqt.Q.b.er 1.92.1................ ....eTva ..dwards.,,,,.,,,,, .,...,,,.
Inspector