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Septic New 90 Carriage Drive
nl ... A C, own of f tut4 Mubsor Department of Pollution Control SOUTH WINDSOR., CONNECTICUT DRAIN LAYER'S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System 20.00.„.„ Owxer...1�o...Bulelx De .t. .....-....©4„ .9 .7..4........................ Permit No. ......................, Fee Paid $............................. By .. g...... Date ........................................................................... Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein for repair ......... or construction ..X... of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Property .................................................................................................. Address of Owner ................................................................................................... 2. Location of Property ......90....Carriage....DriY.e.....-....5axol....Ifi,.1.l....B..State.r................................................. Lot No. ........1.8............... 3. Type of Structure ............... ................................................................................................................................................................................................................... (Dwelling, Commercial Building, Store, etc. 4. Number of Families or Persons to Occupy Premises .......... e.....(1)....i'axily................................................................................................... 5. Number of Bedrooms ................................................ 6. Average Daily Flow ................................................... Manufacturer and 7. Liquid Capacity of Septic Tank ......................................................... Material of Septic Tank .......................................................................................... 8. Soil Conditions: Type of Soil ............................................................................................................................................................................................................................. (Sand, Gravel, Clay, etc.) Maximum ground water table .......Tkre.e....axe....,a.--kalf.....(3...5.):...feet....b.elQ.w...surfac.e................... 9. If not served by public water supply: Distance from Owner's well ...Publiz............................................... 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 ......TWo.....(2)...4i,xutes 4:LA!#PR................................................................................................................. Classificationof soil .................................................................................................................................................................................................... 12. Minimum square feet of effective seepage area required12 „.sq,,,ft per.b�mlroox, total o �q„„ft. ..... ............................ ....................... 13. Leaching System: Number of trenches ................................................ Length ................................................... Width ................................................... Total ................................................ Other ........................................................................................................................................................................ 14. Plot Plan Attached. .....Tes......................I....................... 15. Layout Approved. .................................................................... 16. This permit expires .........................................................................................V(Lic Signature .................. .... .... ..................................I........... d Drain Layer) Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances .................................................................................................................................... 19.................. By ........................................................................................................,....................................... PollutionProblem abated Date ................................:............................................. ............................................................................................................................................. Inspector N/ F PATSY . B RE GL /0 N 213.03 LOT /8 a a coL Or, 21.5 "i _I7 N N 4.9.R. COLON/ALA LOT /9 26.0 •0 24.66 1 $141 50'BU/LOI �2/250 64L.EPT/C TANK O i< A ��� A = 130•D0 4=22_55_46,. 35 R= 325.00 CARRIAGED - co N. ��v Sao.. u 4 'M MM LOT 18 ON A MAP ENTIT LED a "SAND HILL ESTATES" SHEET 3 ( ' ' 3 MAY 23, 1970, REVISED NOV. 1972 REVISED DECEMM 37 1974. I=HEREBY CERTIFY THIS PLAN SUBSTANTIALLY C ORREC T AND THERE ARE NO ZCNINGr REGULATIONL VIOLATED. 4AMES E. SHMYi I.S. 703 - - - -- Pt0-T -PL A N--FC R- L / PMA N 90 CA RR/A GE DR.- MUM W/NDSOR,CiQIV SCALE:/ "ir 40' MARCH 26, 74 WA MES E. SHE£HY L S, 7034 .