HomeMy WebLinkAboutSeptic Repair 738 Main Street Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
FeePaid $............ By .................Cldeck...No.....167.6.............................................................................. Permit No. ..7.. -.1..1.........................................
Date 30....M..ox'ah.,....1.973.........................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair 4. or construction ......... of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property ............Russell....Qa.....Iev.aok......................... Address of Owner ....7.38...Maix...S.trnext........................................
2. Location of Property .....S,#A.0......................................................................................................................................................................... Lot No. ..............................
3. Type of Structure ...............PtlCllixg..................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ..........QX.0 (1) family..................................................................................................
5. Number of Bedrooms Mirwe (.3.).............
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tankl..,0.00 .Catalloxts............ Material of Septic Tank .....Arrow.....-.....coxarate..........................
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 ....75...f t. ..............................................
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 .......Rtepai.r..................................................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required ................3.75...aq....ft......................................................................I...........................
13. Leaching System: Number of trenches Tito.....(2)......................... Length ...1.44....f.t......................... Width ...........3-0...ft.,...............
Total .....4.32...aq...ft.......... Other ........................................................................................................................................................................
14. Plot Plan Attached. ......KQ..................................................
15. Layout Approved. ............X.es.............................................
16. This permit expires .........30..Meg.X.,.....1.97.3............................................................
1
Signature ........ ...... ......... r-
How rd . late r (Licensed Drain Layer)W9-206451
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
............................/......... ................................................................... 19.2.Z.... By<
1�, .................Ha a ...W-...Ley c.k.
PollutionProblem abated Date ................................:........................................I.... ....................................................................................................................................,.......
Inspector
t
N
WELD r-�Y
Q / /
�/ Ge
/ r
v�
NOTES SOUTH WINDSOR POLLUTION CONTROL
Scale: 1" = 40, LOCATION 738 Maix Street
S T OWNER Russell G. Levack
A 75 TYPE OF WORK Septic Field-Re-pair
B 84 DATE o4-o7-73 PERMIT -11 PIPE4" O.B.
INSTALLER Slater (W -2064 1)
INSPECTOR HWL DRAWN BY ME
i
40
i
i
i
i
r
i O
ii
- 1
Data provided by SBC under contract and is based on an
738 Main Street LEGEND aerial flight performed in spring of2005. This map isa bouthWindsor
g graphical representation of property information and is T
subject to change. The Town of South Windsor and SBC
TOWN LINE PARCELS 1
__ _ assume no legal resnonsibility for information depicted on $...........:.