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HomeMy WebLinkAboutSeptic Repair 131 Scantic Meadow Road Deparhnent of Pollution Control SOUTH WINDSOR, CONNECTICUT DRAIN LAYER'S PERMIT Application for Permit to Install o epair dividual Sewage Disposal System Fee Paid $. ::::;... ) '......... 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 .. .::,..,:., r.7..:::........................................... Address of Owner ...........:............... J.......................I........................... 2. Location of Property ..: x:::::............................................................................................................................................................................ Lot No. .............................. 3. Type of Structure ...........{:,`..: i.:i..i.i .:;i....................................................................................................................................................................................................................... (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons to Occupy Premises ......::;{:;,;;:.... .n.`.....;:�.:,; .; 7..::....................................................................................................... 5. Number of Bedrooms R.................. 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 ........................:.;.;::;: i-..................................................................................................................................... Classification of soil ..............:..................................... ..................................................................................... .................................... ....................... 12. Minimum square feet of effective seepage area required .............: r:....:::?.,::....::.. 13. Leaching System: Number of trenches .........Tr}ra.....(2).............. Length ..........1QQ f.t................... Width ..........3...Q....f t................... Total 3QQ':-sq......ft............. Other Faxt.5...of....Q1d....f.iel-.d......................................................................................................... 14. Plot Plan Attached. ..: .:::.................................................... . 15. Layout Approved. ........2-9....3.eptembe.r,.....1.972 16. This permit expires .................................................. Signature ..................... .................. ...............::.......::......::............`...:......................................................................................... (Licensed Drain Layer) Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances .................................................................................................................................... 19.................. By .................. ......................................................................................................................... Pollution Problem abated Date ..2.9...5eptent.e.r.,.....1.97.2........... ......... Ed.W rdn.. J ..............................................._............... Inspector N �GAN>�c/`1EAA©W ROAD �XPOs�D S/T 0 N Ts- I I 1 / F I MI MI 1 � I � I � �S NOTES SOUTH WINDSOR POLLUTION CONTROL Not drawn to scale. LOCATION 131 Scantic Meadow Road OWNER Armand Marques TYPE OF WORK Septic Repair DATE -2 = 2 PERMIT 72-87 PIPE4" O.B. INSTALLER Silvester (W -206440) INSPECTOR ME DRAWN BY ME