HomeMy WebLinkAboutSeptic Repair 83 Deming Street 3'7wff : 77 T:S,•� ''� v`.v $ '` s""�r" A
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Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Cep)airIndividual Sewage Disposal System
FeePaid $...................::...:....:...... By ..................................... 2 2 ...................................................................................... Permit No.7 ....-":a. .:...........�.. ........................................
Date il.....aUx , J.9....Z%:A................
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 .....A.l ....::..'....:.:.:..............:...,.:.......................................
2. Location of Property ........::...:.'.:........................................................................................................................................................................... Lot No. ..............................
3. Type of Structure ..................:.....:..:.......::.:.......................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ...............::........F.: ........: ::.:..:.::.................. . .........................................................11........................
5. Number of Bedrooms ........:::..::::...:....3...............
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 .... ..J.......................................
......................
From adjacent wells .........................
10. Distance to nearest water course, drainage ditch, s rm 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 ................................................ Length .....:............................................. Width ...................................................
Total ................................................ Other One.....(.1.).....10 f.t....di.azn...x....3...5...f...t deep....pre.cast....drywall
14. Plot Plan Attached. ......:.:...'.................................................. leaching pit.
15. Layout Approved. ....................................................................
16. This permit expires ....................:..............................................................................................
.Signature .............................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.................................................................................................................................... 19.................. By ................................................................................................................................................
2 Ma 2 // eXv' cam , J
PolluP 1dwards� r.
tion Problem abated Date ..............................5............Y...�.........97............. ................................................................................:...........................................................
Inspector
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH W►NDSOR, CONN. 06074
TO Terry V. Sprenkel DATE 25 May, 1972
Acting Director of Health
SUBJECT: George C. Dolan, 83 Deming Street, South Windsor
FOLD-
At 1400 today I performed a final inspection on a temporary septic field repair
on the subject property. This work was performed by Adam Wisniewski (W9-206559)
under TOSW Permit No. 72-24.
This Permit was issued with the Special Condition, signed by Mrs. Dolan, stating
that they are aware of the temporary nature of this repair job and that they
agree to connect this property to the sanitary sewers as soon as available.
I trust that the above meets with your approval.
e wards, Jr.
Assistant Plant Operator
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NOTES` No scale used. SOUTH WINDSOR POLLUTION CONTROL
S T D B LOCATION 83 Deming Street
A exist 38.0 OWNER George C. Dolan
B exist 39.0 TYPE OF WORK Temporary Septic Repair
DATE 0 - - 2 PERMIT 2- 4 PIPE4" O.B.
INSTALLER Adam w9-20 559
INSPECTOR ME DRAWN BY ME