HomeMy WebLinkAboutSeptic Repair 00 Strong Road (2) C, omit of Oiler
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $ ' ' Permit No. ..
o"O° ... a...�� ... . 7 .:....,. .f��n.............
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Pursuant to written applicator} 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: Jf
1. Owner of Property J.. ../1....... ........ Address of Owner ...........................................................................7--
.............2. Location of Property ..... ..?.......... £ .Q. ..................................... .. . Lot No. .... .............
............ ..
3. Type of Structure .........................................................:...................................................... ................J Gt�. l' .... ..................................................................................
(Dwelling, Commercial Building, Stord, etc.)
4. Number of Families or Persons to Occupy Premises ...................f........................................................................................................................................
5. Number of Bedrooms ..................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ....r0 .b.... ..C�..�./..! Material of Septic Tank ...........................................................
8. Soil Conditions: Type of Soil .......... .n................:..................................................................................................
(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, sto aimj°}�emban ment .............................................................. ......
11. Percolation Tests: Time for 1" drop in soil test ............ .....V..7.�C?n..........1 7 �.�...................................................................................
Classificationof soil ....................................................................... ...........................................................................................................
12.
Minimum square feet of effective seepage area required ................... ...Q.Z..................................................................................................•........,:.
13. Leaching System: Number of trenches ............................................... Length ................................................... Width ...................................................
Total ............ ...........`................ Other .........................................................................................................................................................................
14. Plot Plan Attached. ...
15. Layout Approved. ............ ...... ....
....................
...................
16. This. permit expires ...................................................................................................................
Signature ........................ ........................................... ............:............
(Licensed Drain La er)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.................................................................................................................................... 19.................. By .....................................................................................
Pollution Problem abated Date ................................,.
Inspector
t `
SEPTIC SYSTEtf DESTG
tr DEEP TEST
0 12 Topsoil
12 - 84" Clean
Terrace
!�.� t, •. 54 I;�� S� Sand
Fr. G.W. @.38"
PERC TEST
l" in le s s hen 5' rr.
o Bedroom Resider
id/ '
OTr aq�s, Use 1000 gal tank
RFpLACC Use 402 sq. ft. lea
Top sett,.
area 3' trenches
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. _ EMI I L � LEJPC CJI A T E-S-1
NO. REVISIONS DATE
SCALE _in^«1 t DATE
CONSULTING ENGIPJEERS
` 5 OAKLAND ROAD C ° i ! , 4
DRAWN {CHECKED
SOUTH WINDSOR. CONN. �
` 203.644-2802 J
PROJECT _1 t SHEET
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CERTIFIED SUBSTANTIALLY CORRECT - DEGREE OF ACCURA -Y
EMANUEL W. LUCEK CONN. REG. LAND SURVEYOR 6293 `f Ifs
STANPAT PRODUCTS 11C.PORT W.1.11GTON.N.Y.
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DATE PERMIT PIPE
INSTALLER
INSPECTOR DRAWN BY
04
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