HomeMy WebLinkAboutSeptic New 268 Sand Hill Road J
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Department of Pollution Control
SOUTH WINDSOI, CONNECTICUT' v
DRAIN LAYER'S PERMIT
Application for Permit oInstall Repair Individual Sewage Disposal System
Fee Paid $..................:'. .f`�.'..... By :. dir ; ?r:r?:}:. .... ?i,. %'J7.�` :........... 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 >:at.T:td ... 1:.. .. .....?.tar:.',.n.... nzdtl...M1 ....:` s. : ........................................... Lot No.3.
..............................
Type of Structure .................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ...........Qr '.... .(..,................ . '..................................................................................................
5. Number of Bedrooms .... ;-::. :E' :....\..'.1............
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ...1, . ..U.... . a,1 r41? Material of Septic Tank ...... �?.;rgn"IP....::....::ci7; C t: GF!
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 ....�'1z.lio.......................
.......................
Fromadjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test ........ ':.....:...ks::..z:? ..>..............................................................................................................................
Classification of soil ..................................................
..............................:.
12. Minimum square feet of effective seepage area required '..:z ... ....... ,F »cis c......
......
13. Leaching System: Number of trenches ..........Thr..ee.....�. )....... Length ..........1.8.1.....f.t.................. Width .........:........: ......:..:`:.:.
Total ....543....sq!! f t.�t.... Other14. ............................................................................................................. ............................................................
Plot Plan Attached.
15. Layout Approved. ...........YeS................
• 16. This permit expires rr <<
xp ...,.r.i,.t.a.....1.................t.;................................................
Signature ............ ;,`t .°
i .l .r,;(Licensed Drain Layer) Y `' 0 r'
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
................................................................................................. 4...AuE,'ust... 19..........7..?. By :.......................:.in...Edwards..:....Jr.-............................................................
Pollution Problem abated Date .................................:............................................
Inspector
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NOTES Scale = 40, in 1" approx. SOUTH WINDSOR POLLUTION CONTROL
sST 2Z-B LOCATION Sand Hill Road Lot 4
A 14 25 OWNERLipman
B 31 40 TYPE OF WORK Septic Installation
DATE 08-04-72 PERMIT 72- 9 PIPE4" O.B.
INSTALLER Williams (W -206 1
INSPECTOR ME DRAWN BY ME
TO LAG i i_0 L
LOT
135.45
LOT 4 0
30,875. 16 sq. ft.
h � •
/000 6AL. .
SEPTIC TK. # 0
5 .0 0
---- ----� I I�
V j Iri
PROPOSED Oj
j 3 B.R. RAISED N
RANCH 30.00
50 Bl1/L DING LINE I
o�
of Ih l P
/92 3710 /5 0.00
Property fine
SAND HILL ROAD
BEING LOT 4 ON MAP;
ENT/T L ED.
-` "SAND HILL ESTATES
MAY 2, 1970
+' PL OT PLAN FOR
L / P M A N
SA ND HILL ROAD— SOUTH W INDSOR, CONK. a
}
SCALE /" = 40' MARCH 28, /972 y
✓AMES E. SHEENY L.S.70J 4