HomeMy WebLinkAboutSeptic New 67 Scott Drive 4 r a
y - 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./—
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information i�su �'tted: �,40,14LVI�4*cvZ'
1. Owner of Prop rAddress nnot Owner
2. Location of Propert r 4.S 6? J07TT"�1¢o✓J_ Lot. No.
3. Type of Structure ���� No. of Bedrooms
�— (Dwelling,Commercial 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 Other
6. Liquid Capacity of Septic Tank Material of Septic Tank Z22 ,-V
7. Soil Conditions: Type of Soil Maximum ground water table
(San rave,CI y,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 �� Xz /�/,C6, lassification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length . L?, � Width �i Total_
Other
Signature-
(Licensed Install r)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
as
150. 35,
r
'75
I 1 f I `
I 1
1 /17
o
' N
N _
0
1 55 q1' N
R r�.
70'
32't
—7� f
CO 1 T L� Zt ��F
LOT #118, "BIRC}3 HILL ESTATES"
SECTION #5
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" 40,
z
��T��-'�• •' .� - _ .tea _, L S .
9-�67 1, Rockville,
lle
Conn.
.M
4i c
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT'
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $ '�t Cjl) M0 ;-
BY .........:....................................................................................................................................... Permit No. .. :.= .:.:.r..........................................
Date ............... .,15...-MAY.....I .-a..............
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repairX.. or construction ......... of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property . f:.::r i'..:.a.. ....:��':�1. : .................. ................... Address of Owner ....62... ::' : ....rr7:`. ............................................
2. Location of Property -?.!�)
:......................................................................... Lot No. ......... : ............:
3. Type of Structure ................ fr, l 1in��..................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
. Number of Families or Persons Occupy Premises ...........One. �..�..)....f�,r..�l.,y
........ ..................
5. Number of Bedrooms ...1':�l za:.......................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank'.. ; ! ...; Material of Septic Tank .a. i..i.:n. ,.......t'.c)z .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 ........................................................................
Fromadjacent wells ......................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test :: :....... ' t ;rti.........................................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
-12. Minimum square feet of effective seepage area required
13. Leaching System: Number of trenches ('z�.«.....�:1. .....'n. as.<<°Length ...........jt1)....S.i..n.................. Width ............;
Total ..:12P . ....... Other
14. Plot Plan Attached. .......!a::;.
15. Layout Approved. .............ro. ..........................
16. This permit expires
on
4•I l j'1 €.n Signature ..::t.... )
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.................................................................................................................................... BY
Pollution Problem abated Date .............................'.:.>>. 1 f
...::....................:::.......:..:......................:..:..............................................................
Inspector
A'
Sc.a 1 1 LKl V
t
V
a
4/ 33
to
\e 7s
91_FT To
ec�K4
9e
s
NOTES_ Scale = 40, in I" approx, SOUTH WINDSOR POLLUTION CONTROL
The letter "e" used above denotes LOCATION 67 Scott Drive (Lot 118)
existing trenches, layout of which is
approximate and based on original OWNER Harvey-I. Weiner
drawing for this system. New D/B is TYPE OF WORK Septic Repair
. located as shown in inset. DATE 0 -2 - 2 PERMIT 72-27 PIPE 4" O.B.
INSTALLER Adam (W -206 g)
INSPECTOR ME DRAWN BY ME