HomeMy WebLinkAboutSeptic New 80 Griffin Road F �
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT'
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $............20.0�...... By !!� .K.....0 ;7 —19
7¢.................................................... Permit No. ..................?4.........................
Date ................2.3...Aumt......1.9.7..?+.....
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ...X.. or construction ......... of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property ............ W.a ..is1a ............................................ Address of Owner ...8Q...GtfiA.... 1 .........................................
2. Location of Property ....1!IAA'lid....aid..0 bo.t.w.e.ex..wC.lItdJ.... ...Wgxdaprvil1o...Ro.&O................... Lot No. ..............................
3. Type of Structure ...............D.W..911iss...................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons o Occupy Premises ..........PAP.....(1)....1.M. ly.......................................................................
5. Number of Bedrooms Tom ..... 33.............
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ..1..,2.50...gpllexe........ Material of Septic Tank A2Qv�...�aD' �J�'� - ca�r�E
..........................................................
8. Soil Conditions: Type of Soil ..........:5.AMA...................................................................................................................................................................................................
(Sand, Gravel, Clay, etc.)
Maximumground water table a� ...o !�. ..............................................................................................................................
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 .......Repai.r.;....".t...requiradl..................................................................I...........................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required 375....sq..••f.t....................................................................................................................
13. Leaching System: Number, of trenches Two.. ?)... .................. Length ..�'.31....FT..................... Width ..X..:..5... er...................
Total 33..s. A-.q...f: ........... Other S Afvz..F4640> FOR w4w. ...........................................................................
14. Plot Plan Attached. ......Ne..................................................
15. Layout Approved. ....................................................................
16. This permit expires 23-0. *be .......1.9..74...................JP. Cev-�eisky
........
Signature ... .......................... . ..... ...............................................................................
Vrti!e (Licensed ain Layer)w9-205924
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.................................................................................................................................... 19.................. By ................................................................................................................................................
Pollution Problem abated Date 'J ...... .. :..L..9..7......................:
. ........................................_................................
Ia�pector
w
1
a
StRdMr c�c.
R 24,� �Z,o -� F� wA�Q ���•
?A,
brL
o ?
30
4o-
-� o
� � o
v ? 6
3 � �