HomeMy WebLinkAboutSeptic New 2250 Ellington Road •
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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
Fee Paid $ 2 By :...::....:..... . ...:. ,....... ... : ........i ? Permit No. '::';:.
Date ........
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 ... +:,i. s...7............................................... Address of Owner ................° I ,: t ::...,..:...................................
2. Location of Property .... ..:.: : ............................................................................................................ Lot No. ...........I..................
3. Type of Structure ...............:.>,:: .,::;,......................................... .....................................................................................................................................:......................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises .........,,:: t.;:.....(.:.)....;:;::..:.;,;?.. :.............................................................................................•......
5. Number of Bedrooms ..'.:::. .:......�..:;. ..............
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ?::; :_ .. ......... Material of Septic Tank .....:. r. .,.,...... ::.
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 ..:..::................................................
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 `'F .. "
13. Leaching System: Number of trenches ........Two.....(.2)............... Length ..... 13Q... t....... ........ Width ...................................................
Total ...3.90.....s..q.-.....ft.-..... Other .........................................................................................................................................................................
14. Plot Plan Attached. .........:...:.................................................
15. Layout Approved. ...........Yes........................I.....................
16. This permit expires ........ .......:::.:....:..........
Signature .................... .......................... ::....::....:.............................................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with S e Public Health Code and Local Ordinances
...............................................22...November......................... ... 19.........7�.. By ............Melvin...Edwards.........Jr..................................................................
PollutionProblem abated Date ................................:............................................. ..........................................................................................................................._...............
Inspector
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Scale = 40, in 1" approx. LOCATION Ellington Road (Lot 26)
S T D B OWNER
A 33 38 TYPE OF WORK Septic Installation
DATE 11-22-72 PERMIT 72-99 PIPE 4" O.B.
B 37 43 INSTALLER Pippin W9-20 3 3
INSPECTOR ME DRAWN BY ME
42 _ .... ._ 1
L i
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3 LOT 22
161. 38
LOT 26
Al
30,9 2 7. 29 s p. f/.
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/000 GA
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SEPT/C TAN k,
1 ti 000.
0 CP A
i PROPOSED
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3 S.R. RA/S ED iOj V
RANCH H V
50' BUILDING LINE IQ
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/6/.38
EL L I NG T ON ROAD
BE/N6 LOT 26 ON MAP ENTITLED
.. SAND HILL ESTATES (�
t MAY 2 /970
PL O r PL AN FOR
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/ / P M A
EL LINGTON ROAD—SOUTH WINDSOR' CO NN.
SCALE /" = 40' MARCH 28, /9 72
✓AMES E. SHEEH Y L.S. 703 4