HomeMy WebLinkAboutSeptic Repair 1104 Ellington Road -`'s°`3`` ._ '�`'�.T✓� ,..r. ,`g ;..1 .� :a' e4 " 1 � 67
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Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT �."., -
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
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v;. Fee Paid $...........'10.4Q....... By ................. bGk...I!jttbex.....2 !t5................................................................... Permit No. 7 -.?,f?...,........... �w
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Date .............0.6 Vulm.,...19.7. ..;;: �i h
�. Pursuant to written application, permission is hereby granted to the Licensed.Drain Layer named heretri : A
for repair XX... or construction ......... of an individual sewage disposal system concerning which the followitl
information is submitted: s,`
1. Owner of Property ..........F.W....Lareio ................................................ Address of Owner ...�'�. !,,,E'1lngton Road,
2. Location of Property ....9..ante.................................................................................................................................................................... Lot No , 3
- 3. Type of Structure .............Dwelling.......................................................................................................................................................................................... :.
(Dwelling, Commercial Building, Store, etc.) `
4. Number of Families or Persons to Occupy Premises ..........On*...('1.)....fame family....................................
5. Number of Bedrooms ................................................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank Material of Septic Tank .....Fiat, g,,,..-...Steel
....................................................... .... ........ >
8. Soil Conditions: Type of Soil ...................................................................................................................................................................................................... ....
(Sand, Gravel, Clay, eta) { x ,
Maximum ground water table
............................................................. r;
" 9. If not served by public water supply:
Distance from Owner's well .................................................
I . From adjacent wells .................................. ...................................... ....
10. Distance to nearest water course, drainage ditch, stone drain-or embankment 2 ....i'.t.,.... .Qra...ingr'ollAi ..:.l 1
11. Percolation Tests: Time for 1 drop in soil test HePair........................................................................................................................
Classificationof soil . .............................................................................................................................................................
12. Minimum square feet of effective seepage area required ...............325...sq, ....f:�.r.............................................,..........:...........
13. Leaching System: Number of trenches One 1.).,,,bed Length ........40.,,f a........................ Width 1,O f t.
Depth .............04....f t.s.............. Other ......... :......... . . ..: ................................, .. l
14. Plot Plan Attached.
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15. Layout Approved. .........Ye..............................._....... R
16. This permit expires ..........0.6 August,....1.972......................... .. ...................; � rX
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Signature ..........Ads...S.R...Wiani. wi..... '+r.9.- 5.`9)...................................................
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(Licensed Drain Layer)
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Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances r
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19.. .. By ...... ..... ... . ... ... ..
Pollution Problem abated Date 07 June 1972 Melvin Ed�ra�d �7r�
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NOTES: Scale = 40' in 1" approx. SOUTH WINDSOR POLLUTION CONTROL
S T D (new) LOCATION 1104 Ellington Road
A 13.7 19.0 OWNER F.W. Larson
B 20.6 28.0 TYPE OF WORK Septic Repair
DATE 06-07-72 PERMIT 72-30 PIPE4" O.B.
INSTALLER Adam W9-20 559
INSPECTOR ME DRAWN BY ME
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NOTES SOUTH WINDSOR HEALTH DEPARTMENT
LOCATION 11011 61110 vh Rd
OWNER
TYPE OF WORK k.N-
DATE 2 PERMIT PIPE
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