HomeMy WebLinkAboutSeptic New 36 Tumblebrook Drive Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $.......................... :..... By ...:.::: _ :. ...................................... 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 . .. ..............................
p rty ...
2. Location of Property �.� ........ ...... ..:......: ..;...:............................................................ ......... ............... Lot No. ..............................
3. Type of Structure .....................:.:.:;f'..:i.,:..,..................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
— -4. Number of Families or Persons to Occupy Premises ........... :.. ,.....t..,,;...................................................................................................
5. Number of Bedrooms ...::;:::a.:....!:.:'.. .................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ................:.::`'...........:,..:......`:...::::.: Material of Septic Tank .....................:::;....................:::;...........:...............................
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 ......................:`.: ,.:..............................
From adjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test .......:..i.i..::.....:..:.::......................`.:::;.::..............................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12' Minimum square feet of effective seepage area required ..f.'.:............:...... ............................... :..........:.......:.....................:.
13. Leaching System: Number of trenches ..........;..'..................... Length ..........:'. ...............;................. Width ...................................................
Total ..'...........:................:.,............. Other .........................................................................................................................................................................
14. Plot Plan Attached. .......`::::::.:..............................................
15. Layout Approved. ....................................................................
16. This permit expires .::. ........::;: ...............................
Signature ... ::.:..... ......... ........................................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
........................................................................................ 19............:.:::. By ...... ......... ........................................................................
PollutionProblem abated Date .............................................................................. ............................................................................................................................................
Inspector
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41
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144 9
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NOTES scale = 40, in 1" approx. SOUTH WINDSOR POLLUTION CONTROL
S T D/B LOCATION Tumblebrook Drive (Lot )
A 29.0 35.0 OWNER U&R
B 40.0 49.o TYPE OF WORK septic Installation
DATE 0 -'I2-72 PERMIT 72-33 PIPE4" O.B.
INSTALLER Reed W -206 81
INSPECTOR ME DRAWN BY ME
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PROPERTY Or-
NO. TUMBLEBROOK DRIVE SOUTH WIN.DS.OR, CONN.
Being Lot Ka). 9 on map entitrled, "Timb-er Ridge Pfomes<, Dart Will
Rd'. & Ellington Rd'., South Windsor, Connecticut.., ' Sc•ale : . I"a40 ' ,
acv. 1968, Griswold E'ngineering,, Tnc ., Sheet 2 of Tr" ,
WALES lw-4a)v Date : APr�� 2S ,1 97Z
GRrSWOLD,:-fir FUSS9, INC.
MANCHESTER,, CON,Nt.
`nY. I