HomeMy WebLinkAboutSeptic New 50 Brookfield Street �xr�rt n� �n�rt� trtd�nr
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
FeePaid $ = ' By ................................................................................................. Permit NO r.
Date .40.. .. 161..7...................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
of an individual sewage disposal system concerning which the following
for repair ......... or construction � g p y g g
information is submitted:
1. Owner of Property .. `.:.'?..`.r:1,�R".d.e..t't2Un�.;�.......F:1.a Address of Owner #�{: :......'...... -`
%...................
2. Location of Property i....................... Lot o.
3. Type of Structure .............. +''. ......
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises .............Q".t.u....0 .....z. W),I.i..:i.,r.............................................
..................................................
5. Number of Bedrooms ................................................
6. Average Daily Flow ...................................................
Manufacturer and -f-
7. Liquid Capacity of Septic Tank ..�.� icl..; ' is ......... Material of Septic Tank ��. .
8. Soil Conditions: Type of Soil ............................... ...............................................................................................................................................................................
Yp
(Sand, Gravel, Clay, etc.)
Maximumground water table ...............................................................................................................................................................................
9. If not served by public water supply:
Distance from Owners well
:,..
f t Y F. .. 3
From adjacent wells ............................ ..............................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test .........`:'...:.........�?�%.... "°...................................................................................
Classification of soil . ............................................................. ...
12. Minimum square feet of effective seepage area required
13. Leaching System: Number of trenches ................ Lengt�... Width ...... .....::.
Total .��'..::- :.........,<.......:............. Other ........................................................................................................................................................................
14. Plot Plan Attached. .........0.1.)..............................................
15. Layout Approved. ..............:' :;..c..........................................
16. This permit expires .`'`"
Signature ..................................................................................................................................................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.................................................................... .......ft ................ 19.. ......... By ............?:,..: ...: . ..... ::....;.: :;.....................................................................
PollutionProblem abated Date .............................................................................. .......................................................................................................................I....................
Inspector
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION
SIr 10/.9 OWNER MITCHELL, Joseph M A Z/,S 2(.5 TYPE OF WORK S[ tic Installation
DATE PERMIT 76-17 PIPE
B 2o,a 31.0 INSTALLER Vito - -
INSPECTOR DRAWN BY
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date .1 : .` . 1 .7 Ca . . . . . . . .
The Sanitary Sewer . . . . . . . . Septic System . . .X- . . .
at
or lot #. . . . . . . . . . . . . has been installed and completed
in accordance with the Town of South Windsor.ordinances
and regulations.
Accepted and Approved
By �e� t . � Date