HomeMy WebLinkAboutSeptic Repair 29 Mascola Road TOWN OF SOUTH WINDSOR
LTH DEPARTMENT
`repair
Application for permit to install a ne 4 ubsurface sewage disposal system. To the Health Department,
Town of South Windsor. ;,; 7j-
Fee Paid L� rG Date y fZ - Permit Number
As a subsurface sewa a disposal system installer licensed in the State of Connectii
Name, Address, Telephone Number, License Number
hey apply for a permit to construct/repair a subsurface sewage disposal system located at
and owned by�G�j!/`'i�✓�c�'�ZZ
Street, Address, Lot Number Name
'�f A2/
Address
Information to be supplied by Applicant:
Type of dwelling . If non-residential, estimated daily flow
Residential,Qmmercia, tc.
Number of bedrooms Size of lot
Number of fixtures above basement
Tubs,Sinks,Toilets,Etc.
Number of fixtures in basement, if any ,
Pumped or gravity flow,
Type of water supply �U !-:; . If private,type of well
Public-Private
Information to be supplied by Health Department:
Soil type at various levels
Percolation rate Square feet of effective leaching area required
Size of septic tank Type of system
Trenches,Drywells,Etc.
Number of dry wells, trenches, etc. Distance between individual leaching
units. Distance from well on same property on adjoining property
Curtain drain required
Yes,No l 1
Height of system above ground water maximum ground water ,
ledge , 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 by 9f ` Date "/�
Signature of Applicant&License Number
For Office Use Only
Permit issued by Date
System installed by
Final Inspection Approval Date
04/07/00 FRI 14:42 FAX 860 653 0257 ARROW CONCRETE 10001
ARROW CONCRETE PRODUCTS, INC.
%0 Salmon Bro&Seroet 539 0MOque Ro,d 21 Vergaso Avenue
Grasby,CT 06031 Milford,CT 0644;0 Norwich,CT 06360
Phone(860)653.6063 Phone(203)301-5i$1 Phone(80)889-2213
VAX(860)653-0257 FAX(203)301-50)d FAX(860)899-9480
April 7,2000
Mr.Harvey Levack
452 Main Street
South Windsor, CT 06074
Mr. Levack:
1'he following products supplied to you for Cusson.kutornotive on Mascolo Road in
South Windsor were manufactured to"AASHTO-14 S20-4411 specifications:
1000 Septic Tank
12"Galleys
DB-3 Cover
If there are any further questions,please do not hesit ite to contact me.
Sincerely,
Kurt,Burkhart
President
jj•7t t7 �r t7}�! 9 rl+r r y§� II ( id'� (�
la 1 y" ")w 4 ). 7 n
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Town Hall, 1540 Sullivan Avenue, South Windsor, Connecticut 06074
POLLUTION CONTROL 08 J:nuary, 1973
Subject: 29 Mancolo Road, South Windrsor, Connecticut
To ,Thom It May Concerm:
Please bt advis4�-d that the above subject property is presently served by
an individual svotnitary sewage disposal system and that said system is in
apparent good working order.
This Departme.At has no records indicating aAy possible pollution
problems or syztem failures at the subject address.
Sanitary sewers are xot presently available to this property.
TOWN OF SOUTH WINDSOR
Fe i-x td yards,sJ .' - Superintendent
DtprartmA-At of Pollution Control