HomeMy WebLinkAboutSeptic New 875 Main Street Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System41
FeePaid $. .......................... 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 ' w
........................
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 ..::...... .... ..............................................................
.t ...
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 .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test .............:.'.:::::: '.::::.............................................................................................................................................
Classificationof soil ....................................................................................................................................................................................... .:..... .
12. Minimum square feet of effective seepage area required .........................................................................................................................................................
13. Leaching System: Number of trenches ::.:. ::.... .. Length ..: Width .'....
.........:..... ......................... .
Total :::.: ........ Other ...........
........................ ........:............................................................
14. Plot Plan Attached. .......................................................
15. Layout Approved. '....................................................
16. This permit expires .. ' '.. .„:. !a f ni; y. `;rT
:.i
Signature .....
................. ........ ..................................................................................I..
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.................................................................................................................................... 19.................. By ................................................................................................................................
Pollution Problem abated Date .............................
............................................................................................................................................
Inspector
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NOTES s Soale : 401 in 1h approx. SOUTH WINDSOR POLLUTION CONTROL
LOCATION St
OWNER Town of Booth Windsor
TYPE OF WORK New Se tic tem
DATE10 22 1 PERMIT 1 PIPE 4" O.B.
INSTALLER Adam W9-3 12
INSPECTOR HE DRAWN BY HE
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34
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NOTES Scale = 40' in 1" approx. SOUTH WINDSOR POLLUTION CONTROL
LOCATION 875,Main Street
OWNER Town of South Windsor
TYPE OF WORK New Se tic S stem
DATE1-0 22 71 PERMIT 1-64 PIPE 41, O.B.
INSTALLER Adam W9-3 12
INSPECTOR ME - DRAWN BY ME
-
Ar
a �
MEMORAMUM September 15, 1971
To: Building Department
Re: Community Hall Building - Septic System
Listed below are the septic system requirements for the
South Windsor Community Hall:
1. 1,500 gallon tank
2. 600 square-foot trench
3. One 1,000 gallon pre-cast drywell
The system shall conform to Department regulations.
Please submit your cost estimate for the above-mentioned project.
Harvey W. Levack
Pollution Control.
HWL:prb
Name of Firm Cost Estimate
Signature J�Q )J4.CA__0Y ''
DEPARTMENT POLLUTION CONTROL
Date . ... .... . . . . . . . . . . . . . . . . .
The Sanitary Sewer . . . . . . . . Septic System . . . . . . . . . .
at . . �'9`}- `. . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
or lot # . . . . . . . . . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
By
� i�t i. Date
I