HomeMy WebLinkAboutSeptic New 79 Tallwood Drive A �
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application o.
TO THE BUILDING DEPARTMENT: Date _19
A permit is requested for refair orponstruction of an individual sewage disposal system concerning which the
following information is submitted: I;
1. Owner of Property ` 0 Address of Owner —M o W Dom&
2. Location of Propert Lot. No. J3
3. Type of Structure Rc.," No. of Bedrooms
(Dwel ing, mmercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets_ Urinals Lavatories Bathtubs 3
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_ Material of Septic Tank �Q/11� /[ t
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7. Soil Conditions: Type of Soil - mum 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 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length 't'/Jl� Width a 02- Total //;2.-
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF
N0. BALL WOOD DRIVE SOUTH WI NDSOR, CONN
Being Lot No. 13 on map enti tied "PINE HILL ESTATES Addition
No. I Felt Road South Windsor, Conn. Scale : 1" = 40' March 19,
1969 Griswold Engineering Inc. Sheet of 2"
Scale I"
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GR I SWOLD ENGINEERING I NC .
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Cntrtt of Oxi 0s ar
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
FeePaid $............1 .•.. ...... By .................Cheek,.No .....1a6.................................................................................. Permit No. .7 .-3.9.........................................
Date 1.5...Juu:e.......19.73...............................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair X. or construction ......... of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property ........... J.,,....isu!tkx......................... Address of Owner ....7..9....Tallwood-Drive..................................
2. Location of Property .....NE...aOrxer...of...Tit,7.lwo.o.d...Drim.&...Wil:a..J;.OQAbe....Drive.................... Lot No. ........1.3...............
3. Type of Structure ..............W llixg...................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ..........OiLe.....0..a....fa nily....................................................................................................
5: Number of Bedrooms .Your....(.4.).................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ............1,25.0....gatl.l-oxisMaterial of Septic Tank .....Nxi..ate xg....-....eiwwreta...............
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 ..Publie................
Fromadjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test ......R.apair.................................................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required .....375...aEs1....f-t-.-...xLcl ndixg....ol.d....field d.................................
13. Leaching System: Number of trenches ................................................ Length ................................................... Width ...................................................
Total ................................................ Other ........................................................................................................................................................................
14. Plot Plan Attached. .....Yea.......................................
15. Layout Approved. ....................................................................
16. This permit expires ......... .5....August.,.....i.9..73...................................................
-7
Signature .............................................................:.. ............... .......... ... ......... ...........................................................
E.J. Redd (Licensed Drain Layer)W9-206381
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.................................................................................................................................... 19.................. By ............................................................................................,...................................................
PollutionProblem abated Date ................................i............................................ ........................................................................................,...................................�...............
Inspector