HomeMy WebLinkAboutSeptic New 460 Felt Road Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT'
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
21
FeePaid $.... ✓ ................... By ....................:...............I�e..V ...................................................I............................. Permit No .. ... .".........................
Date ........5 .:.-., - ..,�.........................
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:
G. C ,�.
1. Owner of Property ...............}........ ........................... . .. Address of Owner
2. Location of Property .....1 Q. .... ................ ......x.d................................... X 1.................................. 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 ........................................................................
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 expires ..................................................................................................................
Signature ..................... ....... ........ ..........
f......
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
....................................................................................................... 19.................. By
Pollution Problem abated Date ...................... a
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NOTES SOUTH WIND OR POLLUTION CO ROL
LOCATION
OWNER "
TYPE OF WORK
DATE -f - P ,RM T ' --?/ PIPE -"i4 ..
INSTALLER
INSPECTOR DRAWN BY Cry
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EVERETT O. GARDNER & ASSOCIATES 576OLDPOSTROAD TOLLAND, CONNECTICUT 06084
34/
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240
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A,334
No. 4395
PERMIT PLAN . ;
1
LAND OF U. & R. HOUSING CORP, � 0
c�sr,RE�11''�♦
YYYYNNNpNp -. ti !� 1
LOT #1 , "BIRCH HILL, SECTION #7" ,��`��',a;,CON"ecru „�iN►N♦♦
TOWN OF SOUTH WINDSOR, CONNECTICUT v��Po' � Cl' Q,�:_!� �� 1
Fo ��� .po` SALE: 1 - 40
Certified substantially correct, * > ,
:W NO. 4395 �i �
o S. & P.E. #4395
A ri 1 i 1977 '' •• �G'..EVt,,,* �
P 5 ••• /ONAI-f, '♦♦toll and, Conn.
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REFERENCE Map entitled: "Plot Plan Birch`"*9ql„pSection 7, Town of
lli 10007-
South Windsor, Conn, date 11-26-76 Scale l = 40' Project 7522
by Emil W. Lucek Assoc.. Cert. substantially correct - Class A-2. "
Note: Boundary & topographic information taken from above
mentioned plan.
PROFESSIONAL ENGINEERS __ LAND SURVEYORS
1
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL,
Date . . . '. . fJs. . . . . . . . . . . . . .
The Sanitary Sewer . . . . . . . . Septic System
/ � s
at . .. . I.�.... . al .� �. . . . . . . . . . . . . . . . . . . .
or lot . . . . . . . . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
r
Y "� - -- Date
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