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HomeMy WebLinkAboutSeptic Repair 235 Farnham Road a ^' t izowu of 001d4 MOM t, Deparhnent of Pollution Control { SOUTH WINDSOR, CONNECTICUT ; DRAIN LAYER'S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System 4 d Fee Paid $.............. 0..00 By ................................................................................................................................................. Permit No. ........ 5....,... Date Q?...J 1.97..5.. ......... ..... . . ' - Pursuant to written application, permission is hereby granted to the Licensed.Drain Layer named herein for repair A.... or construction ......... of an individual sewage disposal system concerning which the following . information is submitted: 1. Owner of Property COl`t.=.l...Wi1,lia,Ip....H.....$�...G�,m..K.Address of Owner ......235....F1�,zihu�tl,...Rat:Ltd Road................................... p rt)' ........ t . 2. Lo'cation of Property ........AA.e....................................................................................................................................................................... Lot No. .........29............. { 3. Type of Structure (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons to Occupy Premises ............C.np...0.)....rmd.ly................................................................................................. 5, Number of Bedrooms ....................I........................... y, 6. Average Daily Flow ................................................... Manufacturer and (Existing) 7. Liquid Capacity of Septic Tank 75..?....gallons................. Material of Septic Tank .......Arrow :n (4'aa Crete ................ 8. Soil Conditions: Type of Soil ............................................................................................................................................................................................................................ (Sand, Gravel, Clay, etc.) Maximum ground water table ... .,................................................................................... w r 9. If not served by public water supply: z Distance from Owners well ........................................................................ Fromadjacent wells ............................................................................................. 10. Distance to nearest water course, drainage ditch, storm drain or embankment ...................................................................................... k 11. Percolation Tests: Time for 1" drop in soil test ............................................ ..............I.............. _Classification of soil ................................................................................................................................................................................................... 4 12. Minimum square feet of effective seepage area required 375....aq....ft............................................................................................................ .. }, 13. Leaching System: Number of trenches Three....(3)................ Length ...:.'.335....tt........................ Width ........J 30.0............. j Total4.0. S.t................ Other 14. Plot Plan Attached. ............................................................... 15. Layout Approved. ..............Y.es........................................... ' 16. This permit expires 02....5.8ptf aberg....1.9'..5.................................................. 6 .. Signature .... ,y�......... :, ; ...... . . Adam Wisniewaki (Licensed Dram Layer) W9-2©6559 Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances ............................................................................................................................... 19.................. By .................................................................,........................:......... ......... ..,........... Pollution Problem abated Date ...........02...J.U1—Y e....1.97..5................... f Mel wIA..JWw434�� � rs s N i �35 1 4s NOTES SOUTH WINDSOR POLLUTION CONTROL Not drawn to scale. LOCATION 235 Farnham Road (Lot 2 ) OWNER CONLEY William H. TYPE OF WORK Septic Re air DATE 07-02-75 PERMIT 070275 PIPE 7 O.B. INSTALLER Adam W9-206 59 INSPECTOR ME DRAWN BY ME