Loading...
HomeMy WebLinkAboutSeptic New 250 Scott Drive TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. 0 at TO THE BUILDING DEPARTMENT: Date P e 19� 7 A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is s mi ed ep% n Sc Iocurka 250 Scott Drive 1. Owner of Property Address of Owner 2. Location of Proper t l R 0- M 6 E S'��-s) 250 %a-TT AlJ* Lot. No. �g 3. Type of Structure a)WCL)- I PJ (Dwelling,Commercial—BuildingNo. of Bedrooms,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 ZO 5� Material of Septic Tank 7. Soil Conditions: Type of Soil_W E,o?_Maximum ground water table (Sand,Gravel,Clay,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 7 Classification of soil 11. Minimum square feet of effective seepage area required--'If d 12. Leaching System: Number of trenches Length cQ 0 © Width �`3 Total Other Signature (Licensed Install (Sketch showing all minimum distances and other details re below) All -2 Permit Issued 19 By Installation Completed, Inspected and Approved 19 BY L '4 /ti, 14 -70 1 a I �( • Q all dw C1. I .. y ,i far _. _ ^ ', � d ,Q f nV� I + S Co !o s � r LOT #162, "BIRCk ItILL ESTATES, SECTION #7 TOWN OF SOUTH WINDSOR, CONNECTICUT SCALES 1 "= 40' L.S . #4395 �(,+0 Rockville, Conn. �►w� C-Q✓w or �� own of Oo* Department of Pollution Control SOUTH WINDSOR, CONNECTICUT DRAIN LAYER'S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System Fee Paid .............1Q.f..QQ By Q!, Pk ,.u..tn. . Permit t No .` .......... ........................................................................... .; ..................................................... ............................................ rDate 6::. Jlxro, .... .................................................. Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein for repair N:4�.. or construction of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Property ....................... -0 ...............69 Address of Owner t T) 2. Location of Property .......................................................................................................................................................................... Lot No. ..........L62.1.......... 3. Type of Structure ............... ........... .............................. (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons to Occupy Premises ..........Pn� (1) 11 5. Number of Bedrooms �Imar (4) .... ................................................................................................... 6. Average Daily Flow ................................................... Manufacturer and 7. Liquid Capacity of Septic Tanki...,250 gall=6.................................................... Material of Septic Tank c on c rc,, 0 8. Soil Conditions: Type of Soil ........... !Jardpacked sand .............................I.................... ...............I..................I...................................................................................................................................................................... (Sand, Gravel, Clay, etc.) Maximum ground 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 I" drop in soil test . ­­........... ......................... Classification of soil .................................................. 12. Minimum square feet of effective seepage area required .................... ................ ......................... 13. Leaching System: Number of trenches ...........J�...V? ............. " " .................... . Lengthth ..........1.6 .....n....'(............. Width ....... . ......Total ?., f" 00 (0, + I � ......... 0ther ........... ......................... ................................................................................................................................................... 14. Plot Plan Attached. ......Y 15. Layout Approved. ............ ...................................................... 16. This permit expires ................................................... Signature ................................ ... . ....... .. ........................... (Licensed Drain I:ay6i) .......... Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances ............................................................................................................................. 19.................. By .............................................................................................................................. Pollution Problem abated Date ............................. .. ..........I......................... Jr, .............................................................................................................................................. Inspector N S3 "I S4 1 � I ' o C'9SfHENT 7 401 I I I ZI I 4i i � 3 7- 112 53 NOTES: Scale = 40, in 1" approx. SOUTH WINDSOR POLLUTION CONTROL S T #1 #2 LOCATION 250 Scott Drive (Lot 162) A 27.0 53.0 775 OWNER B ---- ---- 76.0 C 45.0 51.0 ---- TYPE OF WORK Septic Re air DATE 06-1 -72 PERMIT 72- 1 PIPE 4" O.B. INSTALLER Skipper W9-20 4 7 INSPECTOR ME DRAWN BY ME