HomeMy WebLinkAboutSeptic New 448 Felt Road Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT'
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $......(1..1 ........................................................................ Permit No. 77:2Z
Date ............ ......................
Pursuant to written applicatio , 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:_
ddress of Owner ..........................
1. Owner of Property ...................... ......... V'... j .......j. ....... '
2. Location of Property ............�t .....2......... lV... .. ..... .... .... ... .. � 4..........,....................... Lot No. ........rL................
/. .
3. Type of Structure ..........................................................................................................D..G.l�....1..,,.f?...-........................................................................................................
(Dwelling, Commercial Build, 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 ........................................................................
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. ...............................................................
15. Layout Approved. ....................................................................
16. This, permit epires ...................................................................................................................
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Signature ....... ...... ......................
Gt���.... ................. ........
f. .. .... .
(Licensed Drain Layer)
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Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.................................................................................................................................... 19.................. By ................................... ..........................................................................................................
Pollution Problem abated Date .............................. .................. .. � ✓7-`.•'. `' '`
/ / �, Inspector...........,,
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IN
NOTES SOUTH WIND OR POLLUTION CONTROL
LOCATION dl '-
j J OWNER
TYPE OF WORK
DATE —i`; PE IT �`1, PIPE G
F. — k INSTALLER f,a
(� INSPECTOR DRAWN BY f
EVERETT O. GARDNER & ASSOCIATES 576 OLD PEST ROAD TOLLAND, CONNECTICUT 08084
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PER IT PLAN No. 4395 •:
LAND HOUSINGCORP.
OF U. & R. N Fcrs RG�
LOT ,•+ °� c a,v a ,, ".� �q ..... •,•
#2, "BIRCH HILL, SECTION #7" ••••�P�;;;��'o:"G•-_��'. %.,°s;,�V.s;:
TOWN OF SOUTH WINDSOR, CONNECTICUT a!@ Coo i�'a SC LE: 1 " = 40'
Certified substantially correct. W A a
• :A N6. 4395 4' '
��VA.�.�?..'L�-"G����''�mod,.--�'��•-4,�.--- s0_ 'Q fG �p �
,,April1 , 1977 N
%s�oNA���G � S. & P. E. #4395
y��//pN///INNNNNNn11N tolland, Conn.
REFERENCE: Map`entitled: "Plot Plan Birch Hill Section 7, Town of
South Windsor, Conn. date 11-26-76 Scale 1 " = 40' Prptect 7522
by Emil W. Lucek Assoc. Cert, substantially correct - Class A-2."
Note: Boundary & Topographic information taken from above
mentioned plan. i
G� 1�-`T1 AD0Ei7 SEPTIC '�YS'T�M � ,
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PROFESSIONAL ENGINEERS LAND SURVEYORS ;1
i �
W-1NDSOP'
TOE TN OF SOUTH
TOWN HALL
SOUT WINDSOR, COS 06074
H
TMENT POLLUTION CONTROL
�pEP AR
mate . .
Septic System
The Sanitary Sewer
at • • � completed
has been installed and
or lot with the Town of South Windsor ordinances
in accordance
and regulations'
roved
Accepted a d App > J
l
A '���
Date
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