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Home My WebLink AboutSeptic Repair 00 King Street (3) caumn of OVW4 Ightboar Department of Pollution Control SOUTH WINDSOB, CONNECTICUT DRAIN LAYER'S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System FeePaid $.....a?�'................... By ........................................................ 7�" ......................................................................................... Permit No. ... ....... (..................................... Date .... .. `.................................... 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 ........C:JP, .........R�?.c-�C�............................. Address of Owner ................................................................................................... 2. Location of Property ...................... 1 ...... " ...-................................................................................................................................ Lot No. .............................. 3. Type of Structure .......................Q. !C. .......5....................................................................................................................................................................................................... (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons 3 I to Occupy Premises .................. ............................................................................................................................................ 5. Number of Bedrooms ................................................ 6. Average Daily Flow ................................................... Manufacturer and 7. Liquid Capacity of Septic Tank ........ ..G. ....ycv ............ Material of Septic Tank .......................................................................................... 8. Soil Conditions: Type of Soil ........................................... ............................................................................................................................................................... C (Sand, Gravel, Clay, etc.) Maximumground water table ............ ............................................................................................................................................................. 9. If not served by public water supply: Distance from Owner's well ..................7...5.......................................... From adjacent wells ................................. ....7r..................................... 10. Distance to nearest water course, drainage ditch, storm drain or embankment ....................................................................................... 11. Percolation Tests: Time for 1" drop in soil test .............................................................................................................................................................................. Classificationof soil ................................................................................................................................................................................................... 12. Minimum square feet of effective seepage area required ........3 7. ........................................................................................................................ 13. Leaching System: Number of trenches .....................!�...................... Length ............6 ........................... Width ........3...................................... Total ................................................ Other ........................................................................................................................................................................ 14. Plot Plan Attached. ............................................................... 15. Layout Approved. .................................................................... 16. This permit expires .................................................................................................................. Signature (Licensed .............. ................. ................................................................ Licensed Dram Layer) Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances 7�� 1. .................. v� o1E'.................................................. 19.?i�.... By ...............�..�4t,rv,c. .. Zev&'14.......................................................... Pollution Problem abated Date '... ... .................................................................._............... Inspector i i Fro"f� 6s� r� 6s40, NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION OWNER Cln TYPE OF WORK new sytiSb DATE 9 46— a' PERMIT PIPE INSTALLER INSPECTOR DRAWN BY P. .'DOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOIL OIL EXPLORATION SOUTH WINDSOR, CT. 06074 PROJECT: Job Number: a K)09 S-'Rr—eT' Page: of - Date: $ y 197"70 TEST HOL E No: 1 observed by: C.T Depth Density -Description of Soi/ Profile Sample ft TOPSOIL SUBS0IL - a PARENT MATERIAL Bottom of Exp/oration Hole ,9 ,Voter Entering of: J /sches. Mottling. Observed of, Z Inches. Ledge Observed of h��S� E'inches. TEST HOL E No: Depth Density Description of Soil Profile Sari�p/e Na -0 ' •TOP L �� SUBSOIL / :2 PARENT MATERIAL Bottom of Exploration Hole Ei Voter Entering of inches Mottling Observed al Inches- Ledge Observed of "'J L Inches 4 10 20 40 60100 200 U.S. STANDARD SIEVE NUMBERS GRAVEL SAND SILT OR CLAY COARSE FINE ICRSEIMEDIUM I FIN FA UNIFIED SOIL TEXTURAL CLASSES DDISITY: Loose, Medium Compacted, Dense, Very Dense. PROPORTIONS USED: Trace = 0 - 10%, Little = 10 - 20%, Some = 20 - 35%, And 35 - 50% * It is to be noted that soil Drofile descriptions and proportions are based upon field observations and may vary somewhat from actual sieve analysis performed in a soils laboratory.