HomeMy WebLinkAboutSeptic New 239 Griffin Road Wentworth Estates
., .�..,, R.J. Alexaxd*r, Ixe.
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $............2 ?...... By Owxer....:to...Building.......n..x.... .- .- . 3 �.................................................................... Permit No. ........'.......
Date ... 7..73......................................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ......... or construction ......X of an individual sewage disposal system concerning which the following
information is submitted:
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1. Owner of Property .................................................................................................. Address of Owner ...............Griffia.-Road........................................
2. Location of PropertyW.ext...side..,....b.etweax...Brookfield...&...PRR.............................................................. Lot No. ........2'1................
3. Type of Structure ...............Dual-ling..................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ...........Owe....(.1.)....taxis,y....................................................................................................
5. Number of Bedrooms ...Tkree.....(.33).............
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ..1..,.QG9....g�..1MIN........ Material of Septic Tank ..........................................................tde soxsrete
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 ...Publi¢_,,,water........................
From adjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: 1-25'.Aix....................................................................................................................................
Classificationof soil ...................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required 125...ASl....ft...,per..bddrom,,....total..of...3?5...Aq,,,ft.
13. Leaching System: Number of trenches .......................Z................... Length ...L z. .... Fr................ Width ......-3.P 0..i�?n...............
Total17 5......5:q....FT.- Other ........................................................................................................................................................................
14. Plot Plan Attached. ......YOM.............................................
15. Layout Approved. ..................... ... ........................................
16. This permit expires ............r ..Sapptembsa.,.7j................................................
Signature ..........................................................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
................ : : .... ............... ................... 192 .... By ................................................................................................................................. .............
PollutionProblem abated Date ................................:............................................. .......... . ....... ...... ........ .. .............. .................................._... .... ...
Inspector
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NOTES SOUTH WINDSOR POLLUTION CONTROL
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° u NylU�q� R• a gl PROPERTY OF
N/ P rc R . J. AL EXA NDER INC,
GRIFFIN RD. - SOUTH WINDSOR, CONS%
/ SCALE .' / � 40' MAY 29, /9Al j
✓AMES E. SHEENY L S, 7034
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