HomeMy WebLinkAboutSeptic New 49 Berle Road (2) 7'
down of OoW4 10inboor .
Gj Department of Pollution Control
/ SOUTH WINDSOR, CONNECTICUT`
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $ By ':.::: ......................; ::..... ......... .:.....:. ........ ...... Permit No . ...... .....................................
Date ............................................................................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ......... or construction of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property ...............::.. ........................ Address of Owner
2. Location of Property .... g. . . .....: ......... ................................................................................... ......... ................ Lot No. ..............................
:::::.'...:...`..:::.....................................................................................................................................................................................................................
3. Type of Structure .................::
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ..........................::.....'..:�..'...................................................................................................................
5. Number of Bedrooms ......:.::::::'......t..............
6. Average Daily Flow ........................ ..............
Manufacturer and
7. Liquid Capacity of Septic Tank 1... ��..W� �. --
Material of Septic Tank .....:................................................. ................................
8. Soil Conditions: Type of Soil ........................................................... .........................................................................................................................................................
(Sand, Gravel, Clay, etc.)
Maximumground water table .............................................................................................................................................................................
9. If not served by public water supply.
Distance from Owners well7 .:..:. ::.....�. 1 , )).; , r , )
.............
From adjacent wells ..............�' .1.:.:.....:::.....::............................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment ..80 ft,, to storm drain.
.... .............................I...........
11. Percolation Tests: Time for 1" drop in soil test .........:::.::;'..:::::..... .:.. ,.. .::.::.::..:...........:..............................................................................................
Classificationof soil ..................................................................................................... .....
12. Minimum square feet of effective seepage area required (:7 : ..... aQ ?1�,,,,, ,,,,,,,,,,,,
13. Leaching System: Number of trenches .........FiV.sK.....(,5.).......... Length 236....f.:t.............................. Width ..............:..:....:............................
Total ........7.Q.8 r;iq f..t., Other ........................................................................................................................................................................
14. Plot Plan Attached. ................:::............................................
15. Layout Approved. ....Yes (See 17 below.)
.........................................
16. This permit expires
17. Trench running towards garage corner is too close to foundation. Had Boutin install
solid line where shown on as-built drawing.
Signature .....................::..::.....................:......:......:.......::..........::.:......:...........................................................................I.......
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
................................................................. ember........................... 19.......7..1..... By .:/�......e...vin...Edwards.....Jr...........................................
.......... ..................
Pollution Problem abated Date ................................:...................................:.........
Inspector