HomeMy WebLinkAboutSeptic New 105 Farmstead Drive vYl fly 4 }'h � »3
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Department of Pollution Contfol
,- SOUTH WINDSOR,_CONNECTICUT
DRAIN LAYER'S PERMIT :a
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Application for Permit to Install or Repair Individual Sewage Disposal System
R Fee Paid B No.
$...............�0......00................ y C........hsek ,... fi63................................................................................................. Permit No. .7..3-.06.................................
Date 15 X.Ar.ch.......1.W3................. .....
Pursuant to written application, permission is hereby granted to the Licensed.Drain Layer named herein
for repair YXX or construction ......... of an individual sewage disposal system concerning which the following
F., p g P y g g
information is submitted:
1. Owner of Property ...........Ri.cha.zxi...Trpry Tracy......................................... Address of Owner ....1.0.5....Farahmm....Roatid.....................................
2. Location of Property .....5.&M.6..............................................................................:.......................................................................................... Lot No.. ...................... ......
5
3. Type of Structure ..............1 e.1lix. x,
" (Dwelling, Commercial Building, Store, etc.)
i; 4. Number of Families or Persons to Occupy Premises ..........Q34.tt....(..1..)....i'at>x1.1�t........................................................................................... ...
5. Number of Bedrooms ...` ree.....(.3.)..............
ti
., 6. Average Daily Flow .................................
Manufacturer and <r
X " 7. Liquid Capacity of Septic Tank ....1,99Q...galloitrs,,,. Material of Septic Tank .......`.a....hAtAmtg....-
8. Soil Conditions: Type of Soil ........................................................................................................................................................................................... ....... .....
(Sand, Gravel, Clay, etc.
t �` Maximum ground water table ...............:................................................................................................................................... .....:..
9. If not served by public water supply:
. Distance from Owner's well Qlty.....wtter................................
Fromadjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment ............................................................:
l' 11.° Percolation Tests: Time for F1 drop in soil test ......Add?k.ti,a.4...tQ f i.tld......................................................................................................... h
{ Classification of soil
` 12. Minimum square feet of effective seepage area required ...............37..3.75................................................................................................. .............
13. Leaching System: Number of trenches .........Thrsa....(3.)....... Length ..........130....ft................. Width ...........3 .11....i'.................
Total 390....aq...ft............. Other Re.plassd...houaa...ass.war...wa..th...a*.w .euaa ..:3raz........................ ..
14. Plot Plan Attached. .....MKS.......No................................
15. Layout Approved. ...........Yss..............................................
16. This permit expires .........1.5...MsPY..,......1.97.,3................................................................
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Signature ..... ... .. ... xi.
...4 .,�,,e,....... ....... .. .............................................
A am ldisewsk,i (Licensed Drain Layer)l 9-206559
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
- ................................................................................................ $...Marsh 19.....73..... By ........... r�4 'd� .J '.a................................................................ 'y
Pollution Problem abated Date ......................................................... ......... .........
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 105 Farnham Road
OWNER Richard Tracy
TYPE OF WORK Septic Field Repair
DATE 03-2 -73 PERMIT 73-0 PIPE4" O.B.
INSTALLER _
INSPECTOR ME DRAWN BY ME