HomeMy WebLinkAboutSeptic New 424 Felt Road Cavan aaf OvW4 19inboar
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
c_ _ ........................................................................................ Permit No,
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Fee Paid �...... ...���.... By ......................................................... � .,....�....(%......................
Date .............;a...... 1....,.!..... .I............................
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 f p rh' .............. .........::....::.........�...�........�........,..,.._.../�......... Address of Owner ...................................................................................................
2. Location of Property ...........&(^.. ..4......r..** ... .:.::( ............................................................................................................ Lot No. ...5��.................
3. Type of Structure ...............................................................................................................................................................................................................................................................
(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.)
Maximum, ground 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 ...................................................................................................................................................
13. Leaching System: Number of trenches ................................................ Length ................................................... Width ...................................................
Total .....................................:.......... Other ........................................................................................................................................................................
14. Plot Plan Attached. .......1.:.:::: :.:...........:.::.'........................
15. Layout Approved. ................................... :......I.......................
16. This, permit expires ...................................................................................................................
Signature ..................................................................................................................................................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.............................................................................................................................. 19.................. By ...................... ..... ................................................................................................................
Pollution Problem abated Date :............................................. ............................... �''�V,,... 'r1.: ... .......-.............,.
Iffipector
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EVERETT O. GARDNER & ASSOCIATES 576OLD POST ROAD TOLLAND, CONNECTICUT 06084
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ry / 3tg f No. 4395
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20 / PERMIT PAN i ` a ;w m�
/ talc./ � ' N� 4395 A�,e
LAND OF U. & R. HOUSING CORP. '•.�Fs-��'S%ERE,O"\1�y��
LOT #4, "BIRCH HILL, SECTION #7
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TOWN OF SOUTH WINDSOR, CO'NNECTICUT SCALE: 1 " = 40'
Certified substantially/ correct. a
.-. L.S. & P. E. #4395
April 1 , 1977 Tolland, Conn.
REFERENCE: Map entitled: "Plot Plan Birch Hill Section 7, Town of
South Windsor, Conn, date 11-26-76 Scale 1 " = 40' Project 7522 �
by Emil W. Lucek Assoc, Cert, substantially correct Class A-2. A
Note: Boundary & topographic information taken from
o above J i
mentioned plan. ;
PROFESSIONAL ENGINEERS LAND SURVEYORS
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TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL.
0 `' 3
Date
The Sanitary Sewer . . .
Septic System . . . . . .
2- . . . . . . . . . . . . . . . . . .
or lot . . . . 4 has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted Approved
Date —
B —