HomeMy WebLinkAboutSeptic Repair 1425 Main Street UUSvwzt of leuut4 18ittboar
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair 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 ..............:':::r .......' ., s.............................................. Address of Owner .%.`:.
..................................I.................
2. Location of Property : :..........................................................................................................................:................................................ Lot No. ..............................
: asx :. ....................................................................................................................................................................................................................
3. Type of Structure .............
(Dwelling, Commercial Building, Store, etc.)
4.. Number of Families or Persons to Occupy Premises .........`t::...x..... Y......:.............................................................................................
5. Number of Bedrooms ................................................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ......................................................... Material of Septic Tank :;.:is :,::`:........................................................
8. Soil Conditions: Type of Soil ................ J.t i .................................................................................................................................................................................................
(Sand, Gravel, Clay, etc.)
Maximumground water table .............................................................................................................................................................................
9. If not served by public water supply:
Distance from Owner's well .`r'.`.... .isi,.............................................
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 .......':::i.? i.:a;.......i .....................................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required ...............: ,..`.1.
13. Leaching System: Number of trenches ... ................. Length ....i..:..........::.:..:::.:::.................... Width ............:.::.`.:....::.....:..................
Total ............:::.:::::....::.::.................. Other .........................................................................................................................................................................
14. Plot Plan Attached. .....:°:.:...........................
............
............
15. Layout Approved. ............ .:..:..............................I.................
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 .. ..: .. `
Inspector
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No attempt has been made
Nto show any locations on
the old drainage field.
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NOTES: Scale - 40' in 1" approx. SOUTH WINDSOR POLLUTION CONTROL
New D LOCATION 1425 Main Street
A 65.5 OWNER John A. B
B 74.2 TYPE OF WORK Septic Re air
DATE 06-14- 2 PERMIT 72'-37 PIPE4" Plas.
INSTALLER Abbe g-20573
INSPECTOR ME DRAWN BY ME