HomeMy WebLinkAboutSeptic Repair 616 Rye Street .. rye
j- TOWN OF SOUTH WINDSOR s
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
i TO THE BUILDING DEPARTMENT: Date Id- Z6
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
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1. Owner of Property �� a�A pl Address of Owner e- v 4
2. Location of Property__A1 o V
Lot. No.
3. Type of Structure G� Dw g,co ercial sn a g�`e°etc. No. of Bedrooms
4. Number of Families or Persons to Occupy Premises_ • 2
5. Plumbing Fixtures: Water Closets / Urinals_( Lavatories Bathtubs C
Showers_ Kitchen Sinks ,_ Laundry Tubs_ Garbage Grinder_ Other e) p
6. Liquid Capacity of Septic Tank 9,6(1 Material of Septic Tank_f'
7. Soil Conditions: Type of Soil S-A K n Maximum ground water table_ •. +�
Sand,Uravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's weIlA _from adjacent wells t
9. Distance to nearest water course, drainage ditch, storm drain or embankment , /a
10. Percolation Tests: Time for 1" drop in soil test 3M h'' Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches _ Length % J Width 3 O Total ,cs'i)
Other
Signpture
lcer)sed nataller)
i
(Sketch showing all minimum distances aqd other details required below)
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Permit Issued 19 By
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Installation Completed, Inspected and Approved 19 By
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Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
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Application for Permit to Install or Repair Individual Sewage Disposal System
FeePaid $............. ................ B � �.��ov; . .................:.... .. 1 7 1..dJ, 00 y ............ ....... . !� ./!' .....�..................................................... Permit No. .......... ..........................,......
Date ......... ..-. .:. , .................................
Pursuan to written application, permission is hereby granted to the Licensed Drain Layer named herein
*for repaint, or construction .......:. of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property ,.. +....... .............. .. e of Owner ...f... � .... ..�....r'°' h....
p rty ................ ......
2. Location of Property��w1"/.. ! ............ . :......................................./. ..... .......................................................................... Lot No. ..............................
3. Type of Structure ...............1 � ./.. . ............ ... �4...........C�i9t .
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ................................................................................................................................................................
5. Number of Bedrooms ......:.........................................
6. Average Daily Flow ...................................................
Manufacturer and
Material of S tic Tank .......�....D� r dw.c7. Liquid Capacity of Septic Tank .... .. ..... .........!.... . .............................. ..........................
8. Soil Conditions: Type of Soil ........ .........rail.. .�.,�'1...... ....�.. .....�1..:... ............................
.......
............................................................
I.............
(sand, Gr el, 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. ........... . T......................................
16., This permit expires ...................................................................................................................
Signature ..........:r .... . .......................................... ..................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
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...............&11:7 .:::....... "....:...................................................... 19... By ......... .....LWI..................................................................
PollutionProblem abated Date ................................:............................................. X.... +! R �.. ... ................
/� / j Inspector
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LOCATION Pye 9' Carl rr!
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rJA T L. 77 PERMIT'
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TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . .3-Y-7-7 . . . . . . . . . .
The Sanitary Sewer . . . . . . . . Septic System x . . . . . .
at
g . . . . . . .
or lot #. . . . . . .. . . . . . . . has been installed and completed
in accordance with the Town of:South Windsor ordinances
and regulations.
Accepted Approved
B ;~ Date
Y f 1604z�cl
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