HomeMy WebLinkAboutSeptic New 26 Lipman Drive Cnttitt of Ovut4 10ittboar
Department of Pollution Control
SOUTH WINDSOR, CONNECTICU'T
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $ ....:..`..k ''':....... By ` d...:.....11:.:.7 Permit No. 2,-101.......................................
Date24 Navcmber.,....1.97?.....................
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 f% ; ,t r - a� Address of Owner I':�.:�*nz.J oxj ,t<.)a
......................... ..............:.:..................................................................................
2. Location of Property ...............:..........:..�................:.:.::.::..:...:...................
...........................
................................
.....
.....................
.................... Lot No. ......... ....::.............
3. Type of Structure ................i;............ n ;...................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ........s`..n. .....f..1..)....:f .....................................................................................................
5. Number of Bedrooms ..`.;'n.rra....f.;;:,)..............
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ...........::t--,00-:0............................ Material of Septic Tank ....Arrow concrete
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 ...........................25..,,ft.
11. Percolation Tests: Time for 1" drop in soil test aYi.....�'.� . „i.f s.i.t
Classificationof soil .................................................................................................................................................................................................... s
12. Minimum square feet of effective seepage area required'] F i a:' ter s 1 i r, i ,' d , :;
13. Leaching System: Number of trenches . Three..--.(3..)....... Length .... 165..f t,................ Width ..........1tg f t.,,,.,,,,,,,,,,,,
Total ...4.95....Aq.,....f t•..... Other .............................................. ......... ......... ......... ......... ......... ................
14. Plot Plan Attached. .....'.:::: :...............................................
15. Layout Approved. ..........Yes......................I................
.......
16. This permit expires ........24,.Januax ,....1.97.?................................................
Signature ..................................................................................................................................................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with S e Public Health Code and Local Ordinances
...............................................................................28..No Ar............. 19..........7?. By ...........Melvin...Edwards..., qr ...........................................................
PollutionProblem abated Date ................................:..............................I.............. .....................................................................................................................................,......
Inspector
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L I P MA N D RIVE
i
i I I Or E PER
Being /ot `P5 on mop entitled I.
,.Sand H/// Estates" May2, /970 �t � ;'_,.> . .i.`_�.. �,t:i 0 .-HIM
Revisedi Nov. 1972
- irJ``...i'
PLOT PLAN FOR :
vN
L IPMAN DRIVE SOOTH WINDSOR,CONIC.•,
SCALE.' !" =_40' NOV
JAMES E. SHEENY 4.5. 704
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
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By Date