HomeMy WebLinkAboutSeptic New 46 Tumblebrook Drive cant of OnW4 10inboor
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to(
tall or Repair Individual Sewage Disposal System
FeePaid $.. . ........ 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
2. Location of Property ............... Lot No,
3. Type of Structure .
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises .... .:.
r : i
5. Number of Bedrooms
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 .....!..:::........:.<...............I............................
..
Fromadjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test ..............-:..,....:...:..............:..:....:.:........:.:.:.::...:.:.................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required ..:.:::.: :..... ' .....::.. ::::... :..............
13. Leaching System: Number of trenches ............::::::::.:.:...... ..::........... Length .............::: ..........;.................... Width ...................................................
Total .........:....::::....:.:::.:.....:...::....... Other .........................................................................................................................................................................
14. Plot Plan Attached. ........;'..:.::::..........
15. Layout Approved. ...
16. This permit expires ..........:.:...............:..:.:.:.:
.................<:::.,......................................................
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Si ature ... :::.::.
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
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PollutionProblem abated Date ................................:............................................. ....................................................................................................:..................................:....
Inspector
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NOTES : Scale = 401 in 1'* approx. SOUTH WINDSOR POLLUTION CONTROL
S T #1 12 #3 LOCATION Tumblebrook Drive CILot 0)
A 15.0 2 .7 1 .0 ---- OWNER U&R
B 27.3 26.5 25.5 26.5 TYPE OF WORK
C ---- ---- ---- 38.5
DATE 06-16- 2 PERMIT 2- 4 PIPE4" O.B.
INSTALLER Reed W9-20 3 1
INSPECTOR ME DRAWN BY ME
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PROPERTY OF
NO. TUMALEBR00K DRIVE SOUTH WINDSOR, CONN.
Weing Lot No. 14P on map entitled, "'Timber Ridge Hbmes, Dart Hill
Rd:.' Ellington Rd., South, Windsor, Connecticut, Seale : 1"=40'',
Oct . 1.968,. Griswold Engineering, Inc ., Sheet 2 of 7"'.
SCALE: 1"'a4!Qr ]Tate . ,{ - ZS—
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