HomeMy WebLinkAboutSeptic New 436 Felt Road Town of #o* 18inbsor
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
FeePaid $.................................... By ................................................................................................................................................. Permit No. .. ''... . ......................
Date .............. ."......:`:..°....:'...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: f
6 1. Owner of Property (� L Address of Owner ..............................................................................
2. Location of Property ............ ........... ........./.... ...f..........k:... . ..................................................................................................... Lot No. .. ....................
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.
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 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. .......................................................
15. Layout Approved. ....................................................................
16. This, permit expires ...................................................................................................................
Signature ..................................................................................................................................................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
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197....... By ........................ ............. ......................................................................................................
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PollutionProblem abated Date .............................................................................. .......... /.......................................................... .............................................................
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�EVERETT O. GARDNERA A960CIATES -576 OLD POST ROAD - TOLLAND, CONNECTICUT 06084
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4�T.1I� PAUL G KUZ4K
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nI ! 311 10 s4. V% m
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/GAL
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f ''�' �� S�S / 11 g' 8':' � A�Ae'F•c 0
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r _ 50° ' = N0. 4395 4 1
336 32A AFC/3i ERE 0000
ORVEY0
n/ 326 -326
5.5�'�Z'o 81RCN 3�T lr�S• G �� � NnNflNIINNpA°,A
4�11.4oka_ z .• CONiy�s�i�
J le CO 40 4 G
r / =O No. 4399 A��a�
/J PERM IT jPLAN % �3zc =1PF ��' ae
?'i.F,�=6y8�ER60 ��eeee
LAND OF U. & R. HOUSING CORP. ••�`.C)NAL
- r'bibHNNNtltlMNMn
LOT #3, "BIRCH HILL, SECTION #7"
TOWN OF SOUTH WINDSOR, CONNECTICUT SCALE: 1 " = 40'
Certified substantially correct.
Ile
s--I C:.f,. i s ;' r r .._,.. L.S. & P.E. #4395
.April 1 1977 Tolland, Conn.
REFERENCE: Map entitled: "Plot Plan Birch Hill Section7, 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°
Note: Boundary & topogOaphic information taken from above ' r
mentioned plan.
PROFESSIONAL ENGINEERS LAND SURVEYORS `
ca ham,
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.44'
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DAT - PF-JfMTT PIPE (/C
INSTALLER
INSPECTOR EC DRAWN BY
'OWN OF SOUTH WINDSOR
TOWN HAIL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . . �. . '$. . AFr . . . . . . . . .
The Sanitary Sewer . . . . . . . . Septic System .
at . . . - . . . . . . . .
or lot has been installed and completed
in accordance with. the Town of South Windsor ordinances
and regulations.
Accepted/ d Approved
-- — -_-_ Date
-ti