HomeMy WebLinkAboutSeptic New 229 Brookfield Street ottitt of *a* 18inboar
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PIORMIT
Application for Permit to tall r Repair Individual Sewage Disposal System
Fee Paid $ A,.!M By ..........L�...........e4 .. ... ..................................................................................... Permit No. /7
7 ..............................
Date
Pursuant to written applicatiop% 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 Ownei:4 ................................................... ..... ............
2. Location of Property .. ............ ............... ............ Lot No. ....7:i�2..............
3. Type of Structure ..........................................................................J/L ...........................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises .................i............................................................................................................................................
5. Number of Bedrooms ...................J......................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ............L!.........v........................... 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 Owner's well ........................................................................
From adjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, stow drain
11. Percolation Tests: Time for I" drop in soil test ............/tl/ /0 7)9% ..'#..........................................................I............I...........................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required ................424...................................................................................................................
il,
13. Leaching System: Number of tren0es ............................. ................. Length .......... �.'l Width .......
'�....iz................................
Total /e� Other ...................................................................................................................... ......................................
14. Plot Plan Attached. . ......................................
15. Layout Approved. ..... . ..........I..........I..............
16. This permit expires ..................................................................................................................
Signature .......................a17v'1"--,-----7
- . 7' *"'"* *-* ***'"* ..........— ? � Drain Layer)
1 U iz'p
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
........... 9_2
........................................................................... ............ ........................... I ........2 By ..................... ..... I......... .................................I.............I.......... ...................................
Pollution Problem abated Date ................................i............................................ ............ ...............................
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SEPTIC SYSTEM, IZo �--�
42 IJ TEAL FEET OF TIIZ PE:, BEDROOM UID
IN 3 FT. WIDE TPE CHES FI1,12D 'WITH WASW'LD
GRAVZI, OR BROKEN STDIJE FOR A DEPTH OF 18
INCHES, TRENCHES TO BE SPACED 12 FEET C.O.C. MIN.
PROPERTY OF
R. J. AL EXANDER, INC.
BRO OKF/EL D ST. - SOUTH WINDSOR...
CONNE CT/C UT
SCALE / 40 * SEPL 29, /97� -
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