HomeMy WebLinkAboutSeptic New 116 Fairview Drive N ,,1,�
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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 $............' '...... By Cisni t..... ,� i'..1J.? ..... ..... .. ..:...fir i <}�Yfi.............................................. Permit No.
Date .......... ..................;.ti......................,..............
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ......... or construction a: t... of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property ...........if-
Address of Owner ...................................................................................................
2. Location of Property ........................................................................................
Lot No. . .
..............................
3.
Type of Structure ...............!An;t
....................................................
...............................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Person t? Occupy Premises ..........�w..r;.....(i).....i'. .t�i.l.yy...................................................................................................
5. Number of Bedrooms
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank .."f..:,."? 17.... L1.'..Q.-f-W........ Material of Septic Tank ......la �::!„?....:::.... s..::,.: a. :t;..........................
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 ... :'�' ?. 7,c'...............................................
From adjacent wells ...............................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment ..2 ....:i's..:...............................................................
11. Percolation Tests: Time for 1" drop in soil test .......sill t� sc.....�.'l..i..}....iz:i..Ytz�.f;.::. ..................................................................................................
Classification of soil ......................................... ....................
.......................
12. Minimum square feet of effective seepage area required ,t; ..r. .......g x,, 1.,� , , ,
13. Leaching System: Number of trenches f' s( "'"
titaF:...4........�............... Length • 4� .A..... ................ Width ........3•o. ...T�.................. f .
Total .9,43 . g..o ............... Other ..........................................................................................................................................................:.
14. Plot Plan Attached.
15. Layout Approved. .............
16. This permit expires .........%........:.j"".t Lf ....... s...........................................................
Signature
.................................... ...� s,..
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
&XCAFA7 faA o.i,
...........................................................................................a9....n..oJ..................... .... By ........:...............................................................................................................
Pollution Problem abated Date ................................:.
}' Inspector
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
slr "/ 102-1 TYPE OF WORK S p is QrA W-147 I ofJ
A 3o 4! f# DATE - 2 PERMIT Ze 2 PIPE
/3 az 14S 136 1 INSTALLER
SCALE = ¢,6' /,v / " ,9P�12CY, INSPECTOR DRAWN BY
12 '
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WN4- "VIL 1'aCN
11.
3z A. !vt u J iZ�U t Y EC4 .FT
` v o L a,"LOT 108
c�
44, 630 } ±
j 12'/ o � (U LoT l O J
0
X.40
333 x�
DES%O F.tiic�. {
33,3Y5 4 f?exa►nS N
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PROPERTY OF
I4
NC. r--A1R'VIEVV DRIVE UR, L0 ,t
Being Lot Nc. 108 on map en,ti .ieci: ,irn:..er Ridge f i.� __ Dc,rt i ?1 R, .id - E�. _-cton Rd.
j South Windsor, Connecticut Scale: 1 " = 40' - Oct. 1968 - Griswold Engineering, inc . -
Sheet 3 of 7 - Revised: Feb, 16, 1971 - Section II & Temp. Cu1-De-Sac."
SCALE: 1 " = 40'
GRISWOLD & F USS, INC.
210 Mein Street
MANCHESTER, CONNECTICUT
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