HomeMy WebLinkAboutSeptic New 64 Lawrence Road �n�rrt zY� �u�t� ind�n�
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT'
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $.................................... By .`:.:.: . ......: .......: ......::: ....... .:::::... ................ Permit No. ..` ...................................................
Date ................O.A.7..9QA7....:::.......1.f..7..
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 ... 'i t ............................ Address of Owner ...................................................................................................
2. Location of Property .. .........:..:..::::.........:................:::.............................................................................................................................. Lot No. ..............................
3. Type of Structure ...................::'
(Dwelling, Commercial Building, Store, etc.)
4. Number of Fami}ies or Persons to Occupy Premises ....................... E .9
..........................................................................................
5. Number of Bedrooms .............
......' :...... ............
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ........1.Yq�'�,�d... :. Material of Septic Tank ..... ...:'.. t.......................
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 ...... ....:;. .. .... .........
Fromadjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test ............:.:'::::.'...::.'..... .: YY�t .
Classification of soil ......................................... ........� .......................
12. Minimum square feet of effective seepage area required A5.........:........ ........................................................` .)�..................
13. Leaching System: Number of trenches S.euen.:..(.7.).................. Length 335....f.e.et........................ Width .......................
Total .1..,.O05....sq....f.t....... Other .........................................................................................................................................................................
14. Plot Plan Attached. ..........i...:::..............................................
15. Layout Approved. ...............Yes..........................................
16. This permit expires ............::::.::....:...:.::.:.:r::.;.:.:.::. :..,.........:::...:...........................................
Signature ... :.......:.::..... ......... ......... ....................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
................................2.9.....O.A.t.Abe.x................................................................ 19.71......... v...�.......dwar..... ..............-.......................................................................
Pollution Problem abated Date ................................i............................................ ....................
Inspector
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NOTES: Scale = 40, in 1" approx. SOUTH WINDSOR POLLUTION CONTROL
S/T #1 #2 LOCATION Lawrence Road
A 23.8 38.0 55.5 OWNER Arthur Cushman
"All represents outside faucet locate TYPE -OF WORK Se tic Installation
as shown on above drawing.. DATE 10/29/71 PERMIT 71- 5 PIPE " P.m.
INSTALLER Pippin 9-20 3
INSPECTOR ME DRAWN BY ME
G 1 ,
41 _
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oTNL�I� L-AW D of C OSNMJAN
175.0
3
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3
O PEt2.C, TEST � g"- 36 FMc SeWo
rA "�— Q SMALL 3ToNGm
1000 31t.T^N K u� 1`I STAS t LI Z 9.0 ;LATE
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Q IN N 7C, nFIK. 1
go.o p Fi1wgL7N c_OZ 11310
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17 , 1
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LAW F-E N c a tom.co m
CONIye,
I
a e * PROPOSED LAYOUT
I hereby certify that this map * ARTHUR CUSHMAN
No. eo9a
is s�rbstantially correct and LAWRENCE ROAD
� gee:e ��o� SOUTH WINDSOR, CONN.
there are -no coning regulations tib i�ti.violated. Seal* 111401- May 3, 1971
Douglas prior
Land Surveyor
Tolland, Conn.
J
41--., -
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date
The Sanitary Sewer . . . . . . . Septic System
at . .
or lot #. . . . . . . . . . . . . . . has
in accordance with the Town
and regulations.
Accepted and Approved
By Date