HomeMy WebLinkAboutSeptic New 00 Lipman Drive Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYERS PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
. ............................
Fee Paid $........... By(' I ?.
................... ............................ .............I..........-........... .. ........... Permit No. . ............ ..........................
Date,2....................I.............. ................................
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 ...........��-LP!ACA................................................................. Address of Owner ...................................................................................................
Sri i-nw* !--i.(,(�
2. Location of Property ..............................................................................................................................................................I.............................. Lot No. ..............................
3. Type of Structure .............. .......................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
t
4. Number of Families or Persons to Occupy Premises .............;'Ai.!.....(1..) f.gn.r.O.-.�r....................................................................................................
5. Number of Bedrooms X0.t.4.r .................. ..
6. Average Daily Flow ...................................................
Manufacturer and
-7. Liquid Capacity of Septic Tank .............Lt.".. ti} Material of Septic Tank ................ ...............................
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 .......................................I..........
Fromadjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test ...... ...........................................................................................................
Classification of soil .................... ............. .............*................
12. Minimum square feet of effective seepage area required'l.k.'�"�i ['-�droo�
..................................... ....................................1.1..........................
13. Leaching System: Number of trenches .... ..... Length I..':.............. .......................... Width .....................................................
......i;..��................ Other ..............................................................................................................................................................
14. Plot Plan Attached. ...............................................................
15. Layout Approved. ............ ..............................................
;7
16. This permit expires .......................... ............
Signature .............................. ...................................................................................... ..........................
(Licensed Drain Layer) ..
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
......................... By ............1A� . A .................................................................................................... . .......V.......................... .............
PollutionProblem abated Date .............................................................................. ...........................................................................................................................................
Inspector
N
D „ 4s
to
CP
NOTES SOUTH WINDSOR POLLUTION CONTROL
Scale = 40, ix 1" approx. LOCATION Li max (Lot 4 )
AC = 23 OWNER Jerry Li max
AD = 31 TYPE OF WORK Septic Field Ixstallatiox
BC = 23 DATE o4-Q2-73 PERMIT -08 PIPE 4', O.B.
CD = 32 INSTALLER Pi ix (W -2063 )
INSPECTOR HWL DRAWN BY us
LOT 46
/T/.06 a
LOT 47
/000, GAL
�0 SEP17C O `
4 TA NK
LOT 48
,
w ,
pfto
50 ! BL DO. LINEIra
V
Ot `
I
UN
125.00
TO E
L / PMA N DRIVE
BEING LOT47 ON mAP ENT/TLED
"SAND H/L L ESTATES" MAY 2, 1972
REV/S ED. . NOV. 1972
PLOT PLAN FOR
F.),NS VIOLATE
L/PMAN DRIVE - SOUTH WINDSOR, CONN.
jL SCALE: %"s40` NOV 5, /972
7
✓AMES E. SHEENY`LS..7034
c
TOWN OF SOUTH WINDSOR v
SOUTH TOWN HALL
WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONrRO
L
Date
The Sanitary- Sewer • • • . • • •
• • • • Septic System
at .
or lot " • • . . . . . . . . . . . . • •
# • • • ' ' ` ' • • • • - •. has been installed and
in accordance with the Town of completed
and regulations. South Windsor ordinances
Accepted and Approved
By
Date