HomeMy WebLinkAboutSeptic Repair 6 High Street 7-If``:,rr�.^;�~���9
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��own of 00W4 4vin4usor �
Departinent of Pollution Control ~
SOUTH WDND8OR, CONNE0TICUT
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DRAIN LAYERS PERMIT '
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Application _ _
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Fee Paid By Permit 0o. ...........................Pursuant to tm written application, permission is hereby the Licensed Drain Layer oanumd herein �
for zwguir or oouubumtiuu --- of an individual owvmqge disposal uYntexu concerning which the following
information imsubmitted:
l. Owner of Property _-.�ko-o-:-�-lJ .................................. Address of Owner ^
2. Location of Property _.........I.%;.'-_'-------....................................................................................................................................... Lot No -'-----'- '
3` Type ofStructure -_---_'_---'---_-___-_----___'-------.
(Dwelling, Commercial. Building, Store, etc.)
4. Number of Families or Persons to Occupy Pzaodooe --. ..----------------------_--_------
5. Number uf Bedrooms ---------------'
S` Average Daily Flow ...................................................
Manufacturer and
?. Liquid of Septic Tank ------.------------' 8&uta�ulof0op�cTank
���tgI---_--
8. Soil Conditions: 7yoa of Soil .............................-------------------------------------------------------------- ' .
�wod G�r� �� �j, � v
Maximum ground water table '_----_---------_-_---._-'_---___--_-'_'__--
Sk 8f not served 6v public water
Distance from Owner's well '_'---_..
adjacent vvwDu
Bl Distance to nearest vvutar cwcoue ditch, ut»ou drain or oodbuokoueot -__-'--'---__---_'_-.-` '
11. Percolation Tests: Time for l" drop bm soil test _� -__---_---'--_--_'----_-'--_----__'
Classification of soil ---'_'--------_---_--_'_--__-----_----_---'__-'--_
Dl Minimum oqouro feet of effective seepage area required ................... ....... _-_--_.--.'----'_-_'---_-
%l Leaching 8vohem' Number of trenches _-Fo.uz-L4l--' Length --'�.3D'ft~............... Width ..........3.D-ft ................
TotalOther ........................................................................................................................................................................
14. Plot Plan Attuubed. .........
15.- _-^--' '-pp--v-_ ...........Yes............................................
1l This permit expires / ....................... _-
(Licensed Drain Layer)�-`
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%ootuDutiou Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
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........................................... 19.-.--_ Bv ............................................................................................................................................... '
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Pollution Problem abated Date �
Inspector
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Not drawn to scale. LOCATION Street
S T D OWNER Donald G. Smith
A 27 49 TYPE OF WORK Septic Repair
B 28 47 DATE 14-26-72 PERMIT 72-95 PIPE4" O.B.
INSTALLER Adam W9-20 .559
INSPECTOR ME DRAWN BY ME