HomeMy WebLinkAboutSeptic New 105 Ident Road Town Lit OnW4 ightboar
Department of Pollution Control
SOUTH WINDSOB, CONNECTICUT'
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $.. .. :....... Permit No. ..7..2-Q..7........................................
.................... By ...:.::: : :..:..
Date .................1.4...He.x.Gh.,.....1.9.. .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 ... ......... .. ........... Address of Own r ...................................................................................................
2. Location of Pro e ................................................ld .............................................. Lot No. ......... ...................
p rty .............................................:::::: -
3. Type of Structure :.:::....................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ....................J:` .... ...........................................................................................
5. Number of Bedrooms ....:':..:.'...:.... .............
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ..:�..: ...::;::.:::_...,.::. Material of Septic Tank ..gzmin.sk ....-..,concrete,..,•,,,•„•......
J . . .. .
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 ...7 .. �.':..::..
From adjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test ....... i .a, .................................................................................................................
Classification of soil ................................................... r r...........
12. Minimum square feet of effective seepage area required � '� E i
13. LeachingSystem: Number of trenches Th. ,
Y ..........re:e....(3)............. Length ............'!..7.0.. f t. Width ........3.1.0..
Total .519...59,-...f t.e....... Other ...................................
14. Plot Plan Attached. .............
15. Layout Approved. .............Yes...............I............................
16. This permit expires ..........14...M Y.,.....1.972..............................................................
Signature .............:...............:..:.............................
.................
..:.................:.........
.....................:.........................,.....................
Robert F. Kellihe'I.icensed Drain Layer)
N9-2o6159>
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
n�29 March1972 Nle i dwards r.
PollutionProblem abated Date .............................................................................. ............................................................................................................................................
Inspector
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NOTES : Scale 50' in 1" approx. SOUTH WINDSOR POLLUTION CONTROL
LOCATION Ident Road (Lot 2)
S T DA.0
B OWNER
A 3 0 41
B 25:0 30.0 TYPE OF WORK Septic Installation
DATE PERMIT ,72-o,7 PIPE ►r
INSTALLER Kelliher (W -2061 )
INSPECTOR ME DRAWN BY ME
N/F
.T-OSEPH 8 CENEV/ EVE SACZAWA
4
i ���• M.S.
/55,25
� � s
PLOT B
PL D T A 4/,141.25 SO. FT PLOT C
a
j
I
SO'
1 / ;27' I
50'
52+ €
!�5 155.25'
/b IDENT ROAD
i
t
�p l0k z,�e P L O T P L A N
r' PRO PER T Y OF
75
LANO SJ��
` - TERRY BUILDERS INC s
I CERTIFY THAT THIS fIAP IS
SU.6STANTIA LLY CORRECT AND ZONING SOUTH WI NDSO R, CONN.
REGULATIONSA RE NOT VIOLATED.
%„al! SCALE., / IN. = SO FT. DA T£: OCT, /97/
r
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date
The Sanitary Sewer . . . . . . . . Septic System . . .
at . . . . . . . . . . 1. Q$. . . . . . . . . . . . . . . . . . . . . . .
or lot #. . . .
• . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
By Date