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HomeMy WebLinkAboutSeptic New 95 Ident Road Department of Pollution Control SOUTH WINDSOR, CONNBCTICUT' DRAIN LAYER'S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System Fee Paid $: By ..................................... ... ...... .......... , ......... ( ........ ....... ....... Permit No. ..7.2,-08........................................ Date ................ .4...Marc.... ..�.9.7.2........ 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: 1. Owner of Property ..............:1'::;: :.:.: ....ii.:i: :r..::................... ..... ..... Address of Owner ................................................................................................... 2. Location of Property ................ .......... `. .:............................................................................................................... Lot No. .......,j................. 3. Type of Structure ..................'a.`::: :::............... ................................................................................................................................................................................................................ (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons t Occupy Premises .... : ' 9, .`..c . �'....... . :.:: .................................................................................................. 5. Number of Bedrooms ....: �.?.:'............. 6. Average Daily Flow ................................................... Manufacturer and 7. Liquid Capacity of Septic Tank-...'I.W. ..q- '4' Material of Septic Tank Jagm nski..,.,-,,,,concre;te.................. 8. Soil Conditions: Type of Soil .......... . ..:. K ` .....:... r '..,........} :........ '..: , (Sand, Gravel, Clay, etc.) Maximumground water table ............................................................................................................................................................................. 9. If not served by public water supply: Distance from Owner's well ....:,' ..:.'::;.:.....(See Well Drilling Permit 9315 attached.) From adjacent wells ............................................................................................. 10. Distance to nearest water course, drainage ditch, s$orm drain or embankment ....................................................................................... 11. Percolation Tests: Time for 1" drop in soil test .........!r,1:t' Y.::..................................................................................................................................... Classificationof soil .................................................................................................................................................................................................... 12. Minimum square feet of effective seepage area required ... .. Three 13. Leaching System: Number of trenches ....................................3�...:: Length ..... 182 f t Width ....... .I....... Total54.6....aq.......f..t.............. Other ........:::'........................................................................................................................................................... 14. Plot Plan Attached. .........:`:.:.....................................1....... 15. Layout Approved. .................................................................... 16. This permit expires ..........'J.4...MaY.,.....19.7..z.............................................................. Signature .... .............. Robert F. Kelliher(Licensed Drain Layer) N9-2o6159) Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances M r h J vd � •J ..............................................................2�.......a....e............................................. 19....72....,., By ..... �n..............ard�.....r........................,....................................... PollutionProblem abated Date .............................................................................. ........................................................................................................................................... Inspector ! t r N S6 eS ' ,< b�a�cLcL s 0 v 1p� qy NOTES Scale = .'40' in 1" approx. SOUTH WINDSOR POLLUTION CONTROL S T D B LOCATION Ident Road (Lot 3) A 25.5 30.0 OWNER B 21 .8 28.5 TYPE OF WORK Se tic Installation DATE 0 -2 -72 PERMIT 72-08 PIPE4" O.B. INSTALLER Kelliher N9-20 1 ) INSPECTOR ME DRAWN BY ME NIF .TOSEPH 9 GENEVIE-VE SACZAWA 155.25' s PLOT C PL OT B 41,141.25 SO, FT. ! v a to o! W �o Q� r j 4 SO f 50' 30' J B.L. sz' M 5' 155.25' 5' / DE N T . POA D r-t� J '� E P,."D v/1;1-74 ``- TERRY d �JlL, JEPS INC ."£Y C-;-R, T/FY THAT THIS ?V,, D i-/_ LLY CORRECTAND -SOUTH WINDSOP, CONN, n /ONS AR£ NOT V/OLATcG. 149 SCA LE: / IN. . 50 FT. DATE: OCT., 1971 ` TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. 06074 DEPARTMENT POLLUTION CONTROL Date . . . . . . . . . . . . The Sanitary Sewer . . . . . Septic System . . . . . . . . . . at . . . . . . . . . . . .�, . . . . . . . . . . . . . . . . . . . . . . or lot #. . . . . . . . . . . . . . . has been installed and completed in accordance with the Town of South Windsor ordinances and regulations. Accepted and Approved By - Date