HomeMy WebLinkAboutSeptic New 43 Lipman Drive F
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Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $...........P5 ... "?....... By c :....,.c: �,., a.... a. . ;... .,.....:.': F ..E,.........1.r?:.:. ,::::.......... 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:
rf=7 r i tK C........................................ �.� Tr,i ! ..j ...............................
1. Owner of Property .......... ....:..: Address of Owner ..............::
2. Location of Property ..................................................... Lot No. ... ...i.............
3. Type of Structure ..............;:if: . .;.;:E.:.......................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ......... ar:;. :....(. ?. .....:: '::.a.1..,.....................................................................................................
5. Number of Bedrooms .'.::.:.::::::.:......r.::................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank .:. . ::...::. '..:.::::.................. 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 ..:''.:.'..:;......_.............................................
From adjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment ...'::.:....:.::.:....................................................................
11. Percolation Tests: Time for 1" drop in soil test ......:a.2i:...;a:isatafi ::: ................................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required? ':.:. ti.,..e.....f'...w....:„:, k .::..r:t.!:f:is}!{1., i<;,.:;.,: Y........ .......�
13. Leaching System: Number of trenches .........Thr.e.e.....(.3.)....... Length ...........130...E t................... Width ..............,..;...........;...:.................
Total ....3.90... q....... . ....... Other .........................................................................................................................................................................
14. Plot Plan Attached. ......`;.:;.::................................................
15. Layout Approved. ...........Yen..............................................
16. This permit expires ...............::......................
Signature .. ........................ . €:............;.............................................................................................
(Licensed Drain Layer)"!"'
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
..............................................................................22 N.ovember.............. 19.........72.. By.Z......Melt' n...Edwards x Jr.
PollutionProblem abated Date .............................................................................. ..........................................................................................................................._................
Inspector
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Scale = 40, in 111 approx.", LOCATION 43 Li man Drive (Lot )
A AZT D7B OWNER L.
B 39 39 TYPE OF WORK Septic Installation
DATE- 11-22-72 PERMIT 72-98 PIPE4" D.B.
INSTALLER Pippin 9-2053 3
f y INSPECTOR ME DRAWN BY ME
LOT 35
41.89
BEING LOT -03/ ON MAP ENT/TLED N�\
"SAND HILL ESTATES" MAY2, I970 V �
Revised .' NOV. 1972
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Mho LOT 3/ o LOT 32
LOT 30 °
M
25.00 51.00 00 I -— 49/4
' EXIST/N G h
HOUSE N
LOT 29
SO, BU/LD/NG OI L/NE
O -
I9
27273 TO P./. 162.68
ELL/NGTON RD,
L /PMQ N DRI VE
PLOT PLAN FOR
L / P M A N
L I PMA N DRI V E — SOUTH WINDSOR, CONN.
SCALE .* / " s 40 ' 0 C T. 29, 1972
FOUNDAT/ON AS SHOWN CERTIFIED OCT. 28, /97P
�, ��� ✓AMES E. SHEEHY L.S. 7034
TOWN OF SOUTH WINDSOR, CONNECTICUT Complaint Number le.c
DEPAPT&T OF POLLUTION CONTROL Rec'd
Date & Time
Rec'd From,4 M, JoN.ySa^/ RecId By/QQ-
Address 43 L AAwAl die^F.Uor 3/ Susp. Date
Phone 6 44- f4 go °
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COMPLAINT FORM rb+
Property Owner CAME Phone m
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Address SAKE o
Location& Description of Complaint_ cu3A6-G S�a1 PAC-(AI o /^f Sob E' �/A&B
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Investigated By Date & Time (�
Comments
Violations
0
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Recommendations
Action Taken
Problem Corrected Date
Signature .
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Remarks s
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Scale = 40, in 1" approx. LOCATION 4.3 Lipman Drive (Lot 1)
A 3T D/B OWNER Liman
2
TYPE OF WORK Septic Installation
B 39 39 DATE 11-22-72 PERMIT 72-98 PIPE4" P.B.
INSTALLER Pippin 9-2053 3
INSPECTOR ME DRAWN BY ME
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
By — Date