HomeMy WebLinkAboutSeptic New 120 Tumblebrook Drive 4 Q •, 7
�l��D a TOWN OF SOUTH WI N DSOR46
y BUILDING DEPARTMENT _ I
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South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 19_ ?/
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property U ddress of Owner,�. 1�A
2. Location of Property �MrCiL E13i2eGk' +.D2!Vf �n[Q Ek ��A2 F Lot. No. /fie
3. Type of Structure bwa,L.lnlj No. of Bedrooms!_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy PremisesOME el) r-Axktt.t►
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank12.SQ Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's weILP LlG from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for V drop in soil test to mutt MGM Classification of soil
11. Minimum square feet of effective seepage area required190 FT AC2 R�eA2oaal_ 'f6TAL pp-w O sq FT
12. Leaching System: Number of trenches Length Width 3..® r-T Total
Other
Signature
(Licensed In$ r
(Sketch showing all minimum distances and other a at s r yui4erow
Permit Issued /7 J0n/C 19 7/ By
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Installation Completed, Inspected and Approved 19 By
fOR BUILDING PURPOSES ONLY
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PROPERTY OF
NO . TUMBLEBR00K. DRIVE SOUTH WINDSOR, .CLNN
. Being Lot No 16 on map entitled, "Timber Ridge Homes - Dart Hill
F- Ellington Road South Windsor, Connecticut - Scale : 1 " — 40 " -
Oct. 1068 Griswold Engineering, Inca - Sheet 4 of 7
SCALE - , 1 „ 40' Date :
0 CO N� 11 3v �9-r
FCT 11r, GR I S 10ANCHESTEREECONN . INC.
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Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT'
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $2Q QQ................ By Oamer....to...ilding...Dmrtment...V1.9f7.."1............. Permit No. ..7..1..-28.....................
...................
Date ...........................................................................
Pursuant to written application, permission is hereby granted to the Licensed. Drain Layer named herein
for repair ......... or constructions of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property .............0 85..R................................................................... Address of Owner ...................................................................................................
2. Location of Property J.20....Tumblebrook Drive.x...Timber Ridge.......................................................... Lot No. .........16..............
3. Type of Structure ...............Dwe1„1.?.ng..................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises .......One (1) fam Y.....................................................................................................
5. Number of Bedrooms ....four....(4)................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ....:125.9 .......... Material of Septic Tank ...Arrow....-....C.oncreite............................
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 Public..........................................
Fromadjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test .....ten.....(19)....minutes................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required 1.900 f t...per„.bedroom,,,.,,.total,,,.o f.,76Q..,sq,,,ft..,..,,,
13. Leaching System: Number of trenches ................................................ Length ..... ......... ................. Width .....3.0„feet................
Total ................................................ Other ........................................................................................................................................................................
14. Plot Plan Attached. ........ es............................................
15. Layout Approved. ....................................................................
16. This permit expires ..................................................................................................f................
c �
Signature ........F e.at....J.f! Re.ed....(W9.-.3.55Y7..3..)............................................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.................................................................................................................I.................. 19.................. By ................................................................................................................................................
PollutionProblem abated Date ................................:............................................. ............................................................................................................................................
Inspector