HomeMy WebLinkAboutSeptic Repair 757 Main Street / c�lau�n n� �n ind�nx
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or ep ' Individual Sewage Disposal System
Fee Paid $..............:...:.......:......... By ...............
::.....:.:.:...................................................................................................................... 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:
1. Owner of Property .................... ......... ................................................. Address of Owner ............:.:........::.:.:.:..:,........:.::.:.:....;...:......................................
2. Location of Property .........::...::............................................................................................................................................................................. Lot No. ..............................
3. Type of Structure ................:::::::::.:...................................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ................... �.:::..:'.....:.:..:......:....:.....................................................................................................
5. Number of Bedrooms ................................................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ......................................................... Material of Septic Tank ..:......::..............................................................................
8. Soil Conditions: Type of Soil ..................S. A.............................................................................................................................................................................................
(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 .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test .............................:.......................................................
.................................
.........................................................
Classification of soil ..............................:..........................
12. Minimum square feet of effective seepage area required .......... ..
13. Leaching System: Number of trenches ..........Three....B),.,,,, Length ............1.45.. ft ................ Width ...................................................
Total .....435.....aq......f t...... Other ......................................................
14. Plot Plan Attached. ...........::..................................I...............
15. Layout Approved. ............Yes............................................
16. This permit expires ..........................::...............:::.::.::..::..........................................................
Signature
................................................................. ...
...............................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.................................................................................................................................... 19.................. By ............... .................:..........................................................................................
..........:.......
Pollution Problem abated Date .............................23...May, 1972 Melvin Edwards, Jr.
...............I.............. ............................................................................................................
Inspector
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NOTES Not drawn to scale. SOUTH WINDSOR POLLUTION CONTROL
S T D B LOCATION 757 Main Street
A 23.0 42.5 OWNER Harry Miller
B 12.0 39.0 TYPE OF WORK Septic Repair
DATE 05-23-72 PERMIT 72-26 PIPE " O.B.
INSTALLER Silvester (WI-20670)
INSPECTOR ME DRAWN BY ME