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Home My WebLink AboutSeptic New 00 Newberry Road Cott of 1$or44 Ightboor Department of Pollution Control SOUTH WINDSOR, CONNECTICUT' DRAIN LAYER'S PERMIT Application for Permit to gal r Repair Individual Sewage Disposal System 7�- FeePaid $6 ...��.... By ..................�'..Q..VO.1..1(............ ........................... Permit No. ......................................,..,.................. Date ................;'1..�.10...........&.................... 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 .......................................... ILJ ........................ Address of Owner ................................................................................................... 2. Location of Property ............ ...................1 004j>.................................................................................... Lot No. ....�....8................. 3. Type of Structure ..........................3).lAI..45. t.,tzv..G................... ................................................................................................................................................................ (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons to Occupy Premises ...........Q.Aif�................................................................................................................................ 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 .............................................................................................................................................................................................................................. (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 ................................................................................................................... Signature ............................:............................................--ems —^� .................................... ................................................................... (Licensed Dra' ayer) Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances ........................................................................................................................... 19.................. By ............................................................................................................................................... PollutionProblem abated Date ................................:............................................. ..........................................................................................................................._..........,.... Inspector s NEWg�RRY R04\b N �08• N� Gs' Inv. ►,OU O , i,o0o 2n 27 � - -- -- ----- - - - -}-� i N NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION Mr-k PLRR'r OWNER M I K E TYPE OF WORK =NSTAL l_ CEPT is ` /\IJK DATE _/ to %8 PERMIT PIPE INSTALLER COVEN CCNC k;)c-r 10 ) INSPECTOR G.7, DRAWN BY J L TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT (� '� � South Windsor, Connecticut Application for Permit to kidNim Repair Individual Sewage Disposal System Application No. TO THE BUILDING DEPARTMENT: Date 19�� A permit is requested for repair or construction of an individual sewagAs osal system concerning which the following information is submitted: / 1. Owner of Property �J► c�Q r^ Xe g,1 �e.I`/�A/ddress of Owner &J!' e r�T�� 2. Location of Property u� ,j e. -hl/ �L Lot. No. 3 Type of Structure GU e 411� .v r1 No. of Bedrooms .3 (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets Urinals l) Lavatories 2— Bathtubs_ Showers / Kitchen Sinks_ Laundry Tubs__ Garbage Grinder Other 6. Liquid Capacity of Septic Tank ,CS'7—' &S D& Material of Septic Tank Cn,ACZ414 t 1042& A 44!� 7. Soil Conditions: Type of Soil Maximum ground water table — �aZ (end,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well from adjacent wells .21/.3'�) 9. Distance to nearest water course, drainage ditch, storm drain or embankment /.a / 10. Percolation Tests: Time for 1" drop in soil test In/#<S Classification of soil /T 11. Minimum square feet of effective seepage area required Xa5 -10 12. Leaching System: Number of trenches Length /Z Width Ja Total Other &a �z Signature Mic7bnsed Inst Eller) (Sketch showing all minimum distances and other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By q n L3 r % � v Re& 5 ° p �e� TOWN OF SOUTH WINDSOR HEALTH DEPARTMENT pplication for permit to install a new/repair subsurface sewage disposal system. To the Health Department, Town of South Windsor. Fee Paid Date Permit Number As a subsurface sewage disposal system installer licensed in the State of Connecticut, 1 1 /714yy4,t-d 1Z.� ��f'Fvr.J3wri AJ !o '4 �,Gfis 0DD�LL Name, Address, Telephone Number, herebyapply for a License Number PP Y permit to construct/repair a subsurface sewage disposal system located at Street, '`,Address, Lot Number and owned by sJ u r- ps, 9( sj "MSt, c/e1 W/,�/Pl a�^ Name Address Information to be suppli d by pli t: Type of dwelling Residential,Commercial,Etc. If non-residential, estimated daily flow Number of bedrooms 1 Size of lot Number of fixtures above basement 4, _32- Number of fixtures in basement, if any Tubs,Sinks,Toilets,Etc. Type of water supply Pumped or gravity flow, Public-Private If private, type of well I V -- Information to be supplied by Health Department: Soil type at various levels Percolation rate . Square feet-of effective leachin area required Size of septic tank 06 Type of system_ Te 3C ,V G .es' Number of dry wells, trenches, etc. _,3 P/,,s /o/ 12'�C1 �'' Trenches,Drywell;Etc. units. Distance from well on same property ) , • Distance between individual leaching P P Y T/f1 on adjoining property Curtain drain required 'V o Yes,No Height of system above ground water '/91' maximum ground water ledge /V 0 , impervious soil layer ' If automatic closing is required, description A PLOT PLAN INDICATING LOCATION OF PROPOSED STRUCTURE, WATER SUPPLY, SEPTIC SYSTEM, EM- BANKMENTS, WATERCOURSES, PROPERTY LINES AND ALSO INDICATING EXISTING AND PROPOSED FINISHED GRADES MUST BE SUBMITTED BEFORE THIS PERMIT CAN BE ISSUED. THIS PERMIT IS NOT TRANSFERRABLE FROM PERSON TO PERSON OR FROM PLACE TO PLACE. NO PART OF THE SYSTEM SHALL BE BACKFILLED UNTIL IT HAS BEEN INSPECTED AND APPROVED BY THE SANITARIAN. SPECIFICATION AND REQUIREMENTS AS STATED IN THIS PERMIT MUST BE MET AND ANY CHANGES MUST BE APPROVED BY THE TOWN SANITARIAN BEFORE FINAL APPROVAL WILL BE GIVEN. THIS PERMIT SHALL NOT BE CONSTRUED AS PERMISSION TO CREATE A NUISANCE CONDITION NOR IS THIS SYSTEM GUARANTEED BY THE HEALTH DEPARTMENT. Permit Received b igna a of licat Date n &License Number For Office Use Only Permit issued by Date System installed by Final Inspection Approval Date / �� y5 0 r Iee .JUN-27-95 TUE 16 : 1.3 DESIGN PROFESSION€iLS INC 203 291 e757 P. 02 race . 'r-�y 'tea, >E.c�>rr rofessionals, Inc ofv11 elighleers - plawlers • suiveyore 1170 e11111glon road (route 30), south whadsor, volineallcut 06074 OBSERVATION PIT NO— f .. LOT NO. -��oll 8011, PROFILE — . - 'PU__— . USC1ttr LION ZgAr 1.1;taC1r;,'s um� +�retvt'rrtHi1 1iA't1✓tt: ' ! j ODSE VA' ION t'1'1' NO. . .- LUT NU SOIL 1<'i2UFtt.tr FROM� 1)1at''r'tt D1;SC#Ztl''fI0N Loll JUN-27-95 TUE 16 : 16 DESIGN PROFESSIONALS INC 203 291 8757 P. 03 (203) 29 1-0755 PROJECT NO LOCATION�� sis n DAM- &4r,7 � rolessionals, Inc. 1I'A:9'I.1iad RYt �bAt L.F�••�.AtR., 01vll e1101rreere + }Manners • mveyote 1 $70 ellington road (route 30). eouElr w1lideor. eonnecllout 06074 OBSERVATION PIT NO- LOT NO 8011. PROFILE ;OMI3Is1'` R TO DESCRIPTION f-Flo ;Z. �� MOT'T1.1NtTti...�� ITATER:w��.. NO TES- '4, OUSERVAMON ['1*1' NO. LOT NO- Boll. PRO]FRA, � DEPTH U1a9ORIE'TiON ��J r ROU'1°5• JUN-27-95 TUE 1 6 : 1 7 DESIGN PROFESSIONALS INC 203 291 ST 57 M 4e P. 0-4 FORM#2 State of Conn.Dept-Of Public Health&Addiction Services APPLICATION NO, INVESI'[GATION FOR SEWAGE DISPOSAL SY91131A Cwrner Locatlon sua Mom� '�• SOIL MOISTURE: � PERCC3LATIOI+I'ITSTS:(Record all tests) ate Q6 (high,med.,low,etc.) TEST READINGS HOLE HOLE 'HOLE HOLE Time Readin Times Rea Time Readingime e,adin j/Z71 S4l&/to Ire TABULATION OF TEST RESULTS Hole L=dOR DW*(Inch") Presoa►l4mours Minimum Percolation Rate MWLA 144 OBSERVATION FITS:(Record all pits) Ground water Table: {pate) (Near max.,)Below max.,etc.) SOTM CRIPTIONS PIT PIT FIT FIT TABULATION OF TM RMULTS Pit 1.0=dOn 'Depth Ledge At Ground Water At Soil Mottling At 1/1/94 -42- JUN-27-95 TUE , 16 : 18 DESIGN PROFESSIONALS INC 203 291 8757 P. O5 441 sR�E7, fl' � ,>> >♦a HARD r y, � r" ♦ • +. '`+. as a > 70 r� ' " ♦ ti� a r r > � ♦ q > i > tq ra t♦R � a> > r •c- ~ > mil. �" as � ♦" a a.. qa r 1 \70r !r a 1 i 44 t '/ �97 �A. A X64 Al 3.63 ~ ~ !'k73.d3 tj It �i k154.7o t� �a 4r, aaa a> 1P 70 ArRI 64.10 t �' r *R4 �► 38 IV '�? 3$ A SET r S o. w S�Ef >a>> ( V E Y LJ E-�)? Y >> ft