HomeMy WebLinkAboutSeptic New 1247 Main Street -w
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install ordJJ4 lr Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT Date Ava
19�
A permit is requested for repair or construction`.of aY iiidividual sewage,, sp a dil system concerning which the
following information is submitted: pp Y ;•
1. Owner of PropertYS 1 Q th CS T W�: Address of Owner Q.1, A 04 J77
2. Location of Property- Lot. No.
3. Type of Structure No. of Bedrooms_
Mwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_�,����
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtubs Z..
Showers__ Kitchen Sinks Laundry Tubs_ Garbage Grinder_ Other +gyp
6. Liquid Capacity of Septic Tank-- .Material of Septic Tank x
7. Soil Conditions: Type of Soil Maximum ground water table W0
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells `E
9. Distance to nearest water course, drainage ditch, storm drain or embankment k 1-C$i /
10. Percolation Tests: Time for 1" drop in soil test 3 /k,z A:i Classification of soil
11. Minimum square feet of effective seepage area required�.� �, '
12. Leaching System: Number of trenches--3 Length K/ Width ''O�f Total (,
Other
Signature W
(Licensed nstaller)
(Sketch showing all minimum distances and other details required below)--
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYERS PERMIT
ep Application for Permit to Install or(; Individual Sewage Disposal System
Fee Paid .................10-00) By ............................................ ......... ........................................................................................ Permit No. ......................
........................
Date ....................
........................................
Pursuant to written application, permission is heieby granted to the Licensed Drain Layer named herein
for repair X or construction of an individual sewage disposal system concerning which the following
information is submitted:
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1. Owner of Property ........... V-i.Y.T il-I J 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 ............C., , ' ,
................................................................................................
5. Number of Bedrooms
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ........).'.!J:............ Material of Septic Tank . ........k,.,- ........................
8. Soil Conditions: Type of Soil ....................................................................................................................................................................................................I.......................
(Sand, Gravel, Clay, etc.)
Maximumground water table ..............................................................................................................................................................................
9. If not served by public water supply:
Distance from Owner's well 2 ..........................................
From adjacent wells ........................... .5 ...................................
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 ................................................ Length ................................................... Width ...................................................
".Vr DAV
Total ................................................ Other-rw.�p I-V P.......................... ..................
14. Plot Plan Attached. ...........:" ........................................
15. Layout Approved. ....................................................................
16. This permit expires ........................................................
Signature
'd r.. .. . . ........ ....................................................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
................................................. .........................................t.................... 19 ze...... By",,, ;..............................I.............I...............
PollutionProblem abated Date ............................................................................. ..................................................................................................I........................................
Inspector
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I ' j PLAN S HO4I NG
! PROPOSED BUILDING ?
p ON PROPERTY OF
i
J AMES H. THROWE
MAIN S'_'. SO. WINDSOR �
e I f l"* 40' ..APRIL 1968 !
NO ZONING VIOLAT VMS,
? r I certify this plan to be-
substantially corre 'th,
do jO'hn Ho Keithline, Jr: # 5045
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