HomeMy WebLinkAboutSeptic New 42 Edgewood Drive ` off —
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FEED. �d
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Dat
I hereby apply for permit to build a sewage disposal system for a
(Residence , boarding house, hot 1, etoo
c.)
t
Owned by of
And located at
.
To be built by44, of
in accordance with detailed information stated below.
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION .
1 . Estimated population of premises (present) (future) ,,,_A4011,
2. Des ription of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets Urinals Lavatories Z
Bath tubs— ShowersZ_Kitchen Sinks Laundry Tubs
dd
Garbage Grinder List basement fixtures
3. Water Supply Kind of Well
blic, well, spring, cistern)
Location of well and underground water piping
Method of obtaining or storing supply
(Pumps , tank, etc.)
.4. Character of soil at proposed location of leaching system, including depths of
various strata
sand, loam, clay , hardpan rock, etc. --Use test pits.
5. Elevation of highest ground water
(with reference to both present & future grade)
�R
Description of proposed system (Furnish drawings of same, with plot plan showing
system including location, size , grade and material of house sewer and locations
of ground or surface water drains , wells and bodies of surface water.)
Septic Tank
Dimensions j`�y( Wic YY "Capacity below flow line
Inlet and outlet arrangementsG
Facilities for cleanincfmt6w Distance from dwellings on same
property �j on adjoining property
Automatic Dosing Apparatus , if any (describe)
Soil Absorption System
If cesspools , No. diameter ft.; depth below inlet ft.
If tile field or leaching trenches , total length is 2 j ft.
04
Width of trenches 3_ft. , depth of broken stone or screened gravelr/ft.
Stone or gravel will be covered by . Distance between
(tar paper, salt hay)
trenches ft. Distance from water supply on same property
on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by R
Above information furnish d by
No discharge of sewage or sewage effluent into any watercourse should be permitted
without approval of the State Department of Health and State Water Commission.
n
Cnwn of #a* 18lubsor
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT'
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
10.00 S.ta.te...Paving...&...G.rading..qp.-............................................ Permit No. ....75.-.............................................
Fee Paid $.................................... By ............
Date ....2126.17...1`...............................................
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 David F.1 n..................................................... Address of Owner ......4.2...Edgewood .
p rty ......................................
2. Location of Property ............................................................................................................................................................................................. Lot No. .....,.W...�.,..3(
3. Type of Structure .........Dwelling
...............................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ............One........................................................................................................................................
5. Number of Bedrooms ................................................
6. Average Daily Flow ...................................................
50 Manufacturer and
7. Liquid Capacity of Septic Tank ......................................................... Material of Septic Tank ..........................................................................................
8. Soil Conditions: Type of Soil .........Sand.....................................................................................................................................................................................................
(Sand, Gravel, Clay, etc.)
Maximumground water table ..............................................................................................................................................................................
9. If not served by public water supply:
Distance from Owner's well ........................................................................
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 required ...................................................................................................................................................
13. Leaching System: Number of trenches ................................................ Length ................................................... Width ...................................................
Total ................................................ Other ........................................................................................................................................................................
14. Plot Plan Attached. ...............................................................
15. Layout Approved. ....................................................................
16. This permit expires ...................................................................................................................
Signature
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........ �... �'.e...�....... .. ...�'lte ... .v ®..� ............................................................
W-9 207/048 (Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
................................... .....................................I............................... ............... 19... ......... By ....... ......... ......... ......... ......... ......... ......... ...............
PollutionProblem abated Date ................................:............................................. .....................................................................................................................I....._...............
Inspector
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PRIMUS & WELTI ENGINEERS
Glastonbury, Conn.
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FOUNDATION CNLCKED
DATE SCALE 1 = (0 0 CERTIFICID SUBSTANTIALLY CORRECT
SIGNBD DATE 2- EIaN'ER�� ��� v .!-w [ 3 . . .