HomeMy WebLinkAboutSeptic New 25 Bidwell Road r �
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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 r'... ..'
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 ...............„ ... ryr'ry ... .......................................... Address of Owner...7n....::�t, ..:...::. .......: ................................
2. Location of Property .. :. ........................................................................................................................ Lot No. ..............................
3. Type of Structure , _ .
.................................................................................I...........................................................................................................................................................................
(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':::.:' ' '..:.'.': 2..' . } �Matenal of Septic Tank .......:.' ......... ....................................................
8. Soil Conditions: Type of Soil .............; :ai ................ ........................................ ...........................................................................................................................................
(Sand, Gravel, Clay, etc.)
Maximumground water table ..............,...............................................................................................................................................................
9. If not served by public water supply:
Distance from Owner's well ............. .:'::f:.:.....................................
Fromadjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test ............. ;:% :`.. ..................................................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
'I 12. Minimum square feet of effective seepage area required ...................................................................................................................................................
I 13. Leaching System: Number of trenches ..:: `..':..................... Length ................................. Width ......... ...............................
Total .,...`..: . Other :.,.....................................................................................................................
14. Plot Plan Attached. .::.:.:.:
15. Layout Approved. ...............::.;.;,:.;..........................................
16. This permit expires ...
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......:?.:................................................................................
Signature ...... t, ,.( 1 , �1,::.. ' 7.(`:.::. . .................................................
(L tensed Drain Layer)
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Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
............................................................................................................................... 19.................. B
'lution Problem abated Date ..... .. ................'.::.:........... ............................................................................................................................................
Inspector
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NOTES : Scale = 40, in 1" approx., SOUTH WINDSOR POLLUTION CONTROL
LOCATION 25 Bidwell Road
OWNER J.E. Shepard
TYPE OF WORK Septic Addition
DATE PERMIT -66 PIPE 4" O.B.
-- ---- -- - -INSTALLER---Adam-_(W--20b ) - - - ----- -
INSPECTOR ME DRAWN BY ME
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install 4111M Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 6� 19��
A permit is requested 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 a S Q°A c�e�C,L � � Lot. No.
3. Type of Structure Go to P e n c sic No. of Bedrooms
Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ /a
5. Plumbing Fixtures: Water Closets_2- Urinals_ Lavatories Bathtubs
Showers_ 6 Kitchen Sinks_. Laundry Tubs Garbage Grinder O Other
6. Liquid Capacity of Septic Tank A A n Material of Septic Tank C a Aeo it A t e
7. Soil Conditions: Type of Soil. %TA h d Maximum ground water table---
(Sand,Gravel,Clay,etc.) /
8. If not served by public water supply: Distance from Owner's well in U from adjacent wells /a .6 a � t
9. Distance to nearest water course, drainage ditch, storm drain or embankment_/A a a " •,#
10. Percolation Tests: Time for 1" drop in soil test ]� o_—,Classification of soil
11. Minimum square feet of effective seepage area required_ in Z4e^ / cea^ YJPB
12. Leaching System: Number of trenches_ Length %�"6 ° Width A_?� Total Ada A Jd
Other ��� O z zJs,
Signature
(Mcensed Installer)
(Sketch showing all minimum distances and other details required below)
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----— —------ 76
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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oasoN S. A-> x/
J . E . SHEPARD INDUSTRIAL PARK I
No. 1s31 SOUTH WINDSOR, CONNECTICUT
SCALE 1" = 30 ' OCTOBER 1965
MORTON S . FINE C. E . •L
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