HomeMy WebLinkAboutSeptic New 80 Carriage Drive (2) r
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Noon of #v* Ightboor
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
FeePaid $.................................... ../ ...../ :.......................... .....!:.....`.............................................................. Permit No. , ..7..5. .....................
Date ....... .-. ., ...... .. .............................
Pursuant to written applicatio 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 ................ ... :,t ., Address of Owner ...................................................................................................
2. Location of Property ....... ........ ........L... . .t. ...... /'i............................................................................................ Lot No. ..............................
3. Type of Structure ....................................... ..6trP.,r/lll.,t. ......................................................
................................................................
......................................
.....................
..
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ................................................................................................................................................................
5. Number of Bedrooms ................................................
6. Average Daily Flow ...................................................
Manufacturer and J
7. Liquid Capacity of Septic Tank ......../.... : 1...Q......................... Material of Septic Tank .............. �1 ..!.................................................
8. Soil Conditions: Type of Soil .............................................................................................................................................................................................................................
(Sand, vel, Clay, etc.)
Maximum ground water table ......................... 2�_
9. If not served by public water supply: /a I%
Distance from Owner's well ....................................... .. .............(......fir 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 ................................. .................................................................................................................................................................
12. Minimum square feet of effective seepage area reguired .................................................................................................................
13. Leaching System: Number of trenches .. ........ ........... .................... Length ...............? ................... Width .......'�3..................................
Total .. ...................r3.Q.r ..... Other ...................................................................................................................................................,.....................
14. Plot Plan Attached. .....d(I .... .................................
15. Layout Approved. ....................../..t. ................................
16. This. permit expires ...................................................................................................................
Signature .............. ..................�'�.............
��:: .: :zt.: ......................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
................................................................................................................................... 19.................. By .............. .... .....
Pollution Problem abated '�} �f��' �'Date
Inspector
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NOTES f SOUTH WINDSOR PO L UT ION CONTROL
; LOCATION rrl
Cale 77
—f' �` ° OWNER � f
TYPE OF ORK a C t, 1
DATE -/ - 2 7 P IT 2 PIPE
- INSTALLER t
INSPECTOR DRAWN BY C
_ •
77
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�j'O N Of" SOUTH \&INDSOX
TOWN HAIL
SOUTH WINDSOR, CONN• 06074
DEPARTMENT POLLUTION CONTROL
:Date . . . . . . . . . . . . . . . . . . . . . . .
The Sanitary Sewer . .
. Septic System
at . . . . . . . . . . . . . . . . . . . . . . . .
or lot #. . . . . . . . . . . . . . . has been installed and completed
in. accordance Frith the Town of South Windsor ordinances
and regulations.
Accepted an Approved
By