HomeMy WebLinkAboutSeptic New 1 Lipman Drive down of OvW4 18ittboar
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $. ....`.'..:.=.f?j:} By ...::. i 7 ::.'. t ...:..:.: `...?..L )4 .................................................'............. Permit NO. .F'' :.1`
Date .............:..:s......
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ......... or construction :a.... of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property pt.:?;;. ?........................................... . ..... Address of Owner .. iPn...4n/.... tvE......................................
......:.::....�.+.....k.i Lot No. ..............................
2. Location o Property '- .'..'.... . ::.:....... :...n`.,. ....
3. Type of Structure ..............:: ,:_:.:':.a..:;.: Y...................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ..........'.!W,.....(.1J.....:?.. !:'z ?''
5. Number of Bedrooms ... is4±t=..t.....L?.0.................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ..�...:. ..< ; .a�y ��``-i Material of Septic Tank :;.::.:,:::>.i......................
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 ... ':: '':!,:..:;................................................
From adjaceryt wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment ....':;.:;;...............�...............................................................
11. Percolation Tests: Time for 1" drop in soil test ........ ...';'...::;i.:i.;.;: .'.::.::...............................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required ';: ..... .:..%il............ ,........:...::.::.
13. Leaching System: Number of trenches ..........Two.....(.2).............. Length ...........1.7..4....f-t.................. Width .............:::::.'.;:....:::;:..................
Tota1522....sq......f.t............... Other ........................................................................................................................................................................
14. Plot Plan Attached. .......::F;, •....,........................................
15. Layout Approved. ............Xe.s.............................................
permit expires ..........16. This e,
:.::..:...;....: , .
Signature .. .. ....... ..........................................
... ..... ..........
r, (Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
09...August 72 vin Edwards, Jr.
............................ ...................................... 19..............2 By _..............................................................................................................................................
PollutionProblem abated Date .............................................................................. ............................................................................................................................................
Inspector
N
2
?5\` �75
'I"L
C!_LIiJ6Tor! /`eRD
NOTES: Scale = 40, in 1" approx. SOUTH WINDSOR POLLUTION CONTROL
S T D/B LOCATION Ellington Road (Lot 29)
A 20 29 OWNER Jerry Lipman
B 39 4o TYPE OF WORK Seiptig Installation
DATE o8-0 - 2 PERMIT 72-65 PIPE4" O.B.
INSTALLER Williams (W -206 1)
INSPECTOR ME DRAWN BY ME
SETT, SYSTEM
4OT 3/ 4 2 -.+ ; �f , F !- . OF T;I_E PER
99.28
1 "U 12 FEET C.O.C. MIN.
o�
hl r.
PO.O
36.00` N 0
O PROPOSED
GARAGE
LOT -'
30 LOT 29
38,687.88 sq ff �
� m
N c Q $;
p 0
31, Oct
Q�pQyQ�
2/.0 /000 GAL EPT/C
TANAj 'M OC
f �
a
b ,
p r O 0L 06 1 /N5 N
cs1 71
15756 ;
ELL/NGTON ROAD
BE/Ns LOT 29 ON MAP ENT/TLE
SAND HILL ESTATES ..
MAY P , 1970
PLOT N-AN FOR
IV
ELLINGTON ROAD-SOUTH W/NDSOR,: CONN.
MARCH 2 8, /972 ff...,...•�•+ :
✓AMES E. SHEEHY L.S.7054
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
B:y
Date