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HomeMy WebLinkAboutSeptic New 254 Sand Hill Road i9own of On* Mubsor Department of Pollution Control SOUTH WINDSOR, CONNECTICUT DRAIN LAYER'S PERMIT Application for Permit t tall or Repair Individual Sewage Disposal System Fee Paid $..'( ...�'�i By r...�i.,..n......r.:z: .:.:...m.lc:............ Date ............ :...,: Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein for repair ......... or construction ....)"."5 of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Property .-::. .''t.rllti:<........................................................................... Address of Owner .................................................... 2. Location of Property ......................... d ; �.1. '. , , i .. . . f........................................... Lot No. ........ ,................................3. Type of Structure 1 , , .(Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons to Occupy Premises ............11a......<..::.........E',;.ma..1.y................................................................................................. 5. Number of Bedrooms .... :`..::r..e. ....;..:' 6. Average Daily Flow ................................................... Manufacturer and 7. Liquid Capacity of Septic Tank J...�i;:i.i::........... Material of Septic Tank .......::i` r.rT.,.,t�, r,.,.;;;. :.;,;.................. 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 ... ':'s-`,: Fromadjacent wells ............................................................................................. 10. Distance to nearest water course, drainage ditch, storm drain or embankment ....................................................................................... 11. Percolation Tests: Time for 1" drop in soil test ..........%_1. ..sr...:,;mz.:a.:c.. .................................................................................................................:........ Classification of soil ...................................... 12. Minimum square feet of effective seepage area required ,,.#, 13. Leaching System: Number of trenches .........Two.....(.2.)............... Length ..........162....ft................... Width ......... Total ....4 6....sq....... .t.......... Other ............................................................................................................................................. 14. Plot Plan Attached. .......:Y..;>.as............................................. 15. Layout Approved. ...........Xen.............................................. 16. This permit expires ............ r..:......................................... Signature k,..a............. ..k F r ................. I_`!_ ,;r ri: ,1,f, I. (Licensed Drain Layer) Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances ..............................................................................Q7 41. .Bmst..................... 19 By ..`.......Melvin Edwards Jr. Pollution Problem abated Date ................................::............................................ Inspector • ` y N sly / O NOTES Scale = 40, in 1" approx. SOUTH WINDSOR POLLUTION CONTROL SIT D/B LOCATION Sand Hill Road Lot A 15 25 OWNERLi man B 33 42 TYPE OF WORK Septic Installation DATE O -07-72 PERMIT 72- 0 PIPE4" O.B. INSTALLER Williams (W -206 1) INSPECTOR ME DRAWN BY ME 42 I,✓,_{ i Yi lit ..... :'i \L.:'�i:;.? �'k 75.64 ` QP IS is gS 1*ttl\,'Y a...L.`f f . LOT 5 30,000.83 sq ft. r O J� tib G G�` 1000 GAL. N d' S EPT/C TANK 53.00 � � V G PROPOSED 38R.N RANCH P�0 BUILDING L/NE OI OI hl I 158. 61 3376 SAND HI L L ROAD BE/N O LOT 5 ON MAP ENTl7Y -- SAND Hui ESTATES " { MAY P, 1970 ; _ Y PL OT PL AN FOR SAND HILL ROAD -: SOUTH WINDS OR, C ONN. SCALE /" = 40' MARCH ZB, /9 T 2. DAMES E. SHEEHY L.$. 7034