HomeMy WebLinkAboutSeptic Repair 162 Palmer Drive Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT'
DRAIN LAYER'S PERMIT
Application for Permit to Install r epair dividual Sewage Disposal System
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 ::.......................................................................
2. Location of Property ................:..::..........................................................................................;.............................................................I.............. Lot No. ..............................
3. Type of Structure ....................................... ...............................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ..............i.:.'........r......................:.!::..:.,.:...............................................................................................
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 Own ees 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 -r `.... .............
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.................................................................................................................................... 19.................. By ............................................................................................................:...................................
Pollution Problem abated Date .. ..... . ...... ........: :.,:.. ......: s......................................................................
copy to Director of Public Works — 09/08/71 Inspector'
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NOTES: Not drawn to scale. SOUTH WINDSOR POLLUTION CONTROL
LOCATION 162 Palmer Drive (Lot No. 54)
OWNER Robert Hauck
TYPE OF WORK Se tic Re air
DATE PERMIT 71.51 PIPE
INSTALLER R.L. Davin- (W - )
INSPECTOR ME DRAWN BY ME
di
r _ TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date. 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property Address of Owner Z
2. Location of Property Lot. No.
3. Type of Structure ,Y No. of Bedrooms
(Dwelling,Co mercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder- Z/1�c".Other F /
6. Liquid Capacity of Septic Tan 6 `T Ot-- Material of Septic Tank
7. Soil Conditions: Type of Soil J-L,ti_e Maximum ground water table
(Sand,Gravel,Clay,'etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test /1_Z ;k I-(,,-Pk —Classification of soil
11. Minimum square feet of effective seepage area required_
12. Leaching System: Number of trenches Length Widt -2 - =' Total
Other
Signaturecz -
(Li need Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued/fD ®-Z 19 (0 3 By
Installation Completed, Inspected and Approved 19 By
PF�r�'`"gs 'F •- r< _ �' :� -- R'. ram; -Fl �;.� .. f s '
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a�`\ PROPERTY OF
NO. PALMER DRIVE SOUTH WINDSOR,
teicng Lot No. 54 on map entitled "BIRCH HILL ESTATES Foster S,
South Windsor, Conn. Property of U & R Housing Corp. Scale 1
Date: Jan. 21 , 1963 Hayden L. Griswold, C.E."
Scale, 1" 50 1
HAYDEN L. GRISWOLD C.E.