HomeMy WebLinkAboutSeptic New 68 Deerfield Lane _ ,x Ew".?A�„i+9Ro'Sqra,�...r•.--•.rZF�.� - .� yy y� �a�c��a�rn n� �n�•� ind���ax -
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $......'i''b:f `............. By ........:Fi .a.....>F....4�. ...........................
.J:jK...k ac.,�.,:.�........................... Permit No. . -,,.1.:�r?f.........................................,.
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 ..........: ....................................... Address of Owner ........................................
2. Location of Property �....r...r
p Y .............................::.......
...................................................................................................................................................... Lot No. ..............................
3. Type of Structure ................................................: �€L.<�AAF.............................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Pegigns to Occupy Premises ..................f?l?:0.......
............................................................................................................................
5. Number of Bedrooms ..................`.':...
till j,5...................
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.)
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, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test ...............................................................................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required ...................................................................................................................................................
13. Leaching System: Number of trenches ................................................ Length ................................................... Width ...................................................
Total ................................................ Other ........................................................................................................................................................................
14. Plot Plan Attached. ...............................................................
15. Layout Approved. ...................................................................
16. Tls,permit e.4pirgs . ..... .... ......
`. ; ?; }.. 31Vt?r�.. "f't;?
Signature .
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.................................................................................................................................... 19.................. By ..............................::,.:,:..........,:.......................:::...::.................................................................
Pollution Problem abated Date .................... ........... ......... :..........................................................
Inspector
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date. l— jg/
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is sub i ted / gttNG f E �J 4,
-
1. Owner of Property Address of Owne '� '' W_ y
2. Location of Prop t ® �4= hf z Lot. No.,./4/ _
3. Type of Structure ALgZ o. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets . Urinals Lavatories ;2- Bathtubs
Showers / Kitchen Sinks Laundry Tubs Garbage Grinder /} Other
6. Liquid Capacity of Septic Tank /a�� Material of Septic Tank 0,9/7 e✓e"L//e
7. Soil Conditions: Type of Soil, /��"�11�( �/i5'iyG% Maximum ground water table
San Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
---- 12. Leaching System: Number of trenches Length Width �� > Total o
Other
Signatur
(Licensed Ina le
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
t_
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94 .23'
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145 I I \I 1� �j431
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25 '
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71
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► 50.00 d`
DE.ER7~iF,,— G ANC--
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LOT #144 "BIRCH KILL ESTATES" SE,
TOWNOF SOUTH WINDSOR, CONNECTICUT \\..
SCALE: 1" 40' �J -`
L.S. # 4395
Rockville, Conn.
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