HomeMy WebLinkAboutSeptic New 410 Felt Road Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to tall or Repair Individual Sewage Disposal System
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Fee Paid $.............................�/ . ........ .......'.....:......................................................................................................... Permit No. /. .... ....................
Date ............./ .711-72..........................
Pursuant to written pplication, 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 ..... A ess of O r .........
2. Location of Property ..... ....................f.. i ... ......... Q. .�. g/0.............................. Lot No. .... ....
3. Type of Structure .......................................... 4t!Pl .. ....................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ................................................................................................................................................................
5. Number of Bedrooms ................................................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ......................................................... Material of Septic Tank ..........................................................................................
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 ........................................................................
From adjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for F' drop in soil test ..............................................................................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required ...................................................................................................................................................
13. Leaching System: Number of trenches .................:.............................. Length ................................................... Width ...................................................
Total ................................................ Other .........................................................................................................................................................................
14. Plot Plan Attached. ...............................................................
15. Layout Approved. ....................................................................
16. This permit expires ...................................................................................................................
Signae .....v.......... ...................... . .............................................................................................................................
^ (Lic Drain Layer)
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Installati Com lete ns ected and Approved in accordance with State Public Heal Code and Local Ordinances
p p pp cal rdinance
.. ............ V..' .T....:.:.. , ..................................19.................. By ................................. . .....
Pollution Problem abated Date Mf..................................................... .............................................................
Inspector