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HomeMy WebLinkAboutSeptic New 201 West Road TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT South Windsor, Connecticut pplication 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 �/. � �. c 1'�/� . Address of Ownei�01 U)2S 7- b 2. Location of Property -r Lot. No. 3. Type of Structure No. of Bedrooms t_ (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ .,D 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Showers_ Kitchen Sinks, f Laundry Tubs_ Garbage Grinder_ Other L 6. Liquid Capacity of Septic Tank /O 1?O Material of Septic Tank C a he C 7. Soil Conditions: Type of Soil .5'A A''D Maximum ground water table_ (Sand,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well 7S from adjacent wells e-�-66 9. Distance to nearest water course, drainage ditch, storm drain or embankmenty- 10. Percolation Tests: Time for 1" drop in soil test '� J_[ir Classification of soil , 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches2 _ Length �'7� Width o't Total Other Signatur (Licensed Installer) (Sketch showing all minimum distances and other details required below) ,d ell a' 1 , 1 1 � 1 � 4-1 1 Permit Issued 19 By Installation Completed, Inspected and Approved ��SEF rE,m -.P 19 By �� APPLICAZ'IO�t NO.SOUTH WINDSOR HEALTH DEPARTMENT =ff7WTIGATICR ?'OR SEWAGE DMIUMAL SYSTV MCOIATION TF5'I5: (Record all. testa) SOIL MOISTUFM Date , med., low, eu TEST READINGS SOLE #1 SOLE #2 HCLE #3 HOLE ,4 Time Reeding Time Reeding Time Reading Time Readin; TABULATION OF TEST RESULTS PreskIiaimum .Percolation t?att S= Location (= oa ) grs. ) (Mina./Inch) l - 2 3 0SMVATI0N FITS: (Record all pits)/U Ground 'dater Table; _---- Dete *tear m&x. OZL DFSCRI?"I(�+� PIT PIT Ji `1 P'rT C I PIT D 0—lJ7 Soil r 5-y `77- grt►.l Ste( Z3 b TABMA^'IOIR OF OBSERVAmI OR F'i,S Ground Sail t Letmti= Dew L_dg_ At crater At Me= Pit A B C D Cv =. s� SOUTH WINDSOR HEALTH DEPARTMENT APPLICATIQY ?30. nVVMTIGATIOR ?'OR SEWAGE DIS?C3AL SYS:'�3 Orel' 4ez, �c�`r�' LOCATION PEACOLMON TESTS: (Record all. tests)/v- SOIL MOISTUFM �b Date ga, med., G10A etc IY TEST RFADIMS HCLE #1 =2 #2 aCLE #3 EOLE. Time Redding Time Reading Time I.R'sding Time Readinu TABULATI011 OF T%T gF`..7ULTS pth Presoak Minimum .Percolstioa Fate Hole Location (� s) Ers. ) (Mina./Inch) 1 . 2 3 4 BSERPATION ?='. (Record all pits) Greund Water Table: dear Max., Be ox Max., OZL PESCRIPR'I0} —80 PIT A PIT 8 P?T C PIT 0 0-/y 7 -1 Y°,P 'y 2� Ated f4-w �►� f �r 6 a^""�, y S ,p �Ia TABULATEOR OF OBSERVATION PETS Ground Soil Pit Locaticu Dew L_d_t Water r At Met tL 4 n; A B C D Cve f. fi t } PROJ.1 PUDELER ENGINEERING . Civil Engineering • Land Surveying © (��t 'T DATE Z 543 North Main Street Suite D r MANCHESTER, CONNECTICUT 06040 kw-,-I? BY PERCOLATION TEST # Location ft. N.W.EOA. of Deep Test # DEPTH OF HOLE START PRESOAK AT �� ` �2 fl��l�✓ P.M. DEPTH OF WATER END PRESOAK AT P.M. DEPTH OF WATER f1 TEST DATA TIME READING 7 ,7 3j 1 37 1 1 . t-1 `7 I I PERC RATE y MIN. / IN. COMMENTS: i I PROJ. PUDELER ENGINEERING Civil Engineering • Land Surveying Z �!s DATE /e— 543 North Main Street Suite D � MANCHESTER, CONNECTICUT 06040 BY i-MCOLATiON TEST # z Location 6 ft. WW. of Deep Test # 7 DEPTH OF HOLE I � START PRESOAK AT J1 V/ A.M. P.M. DEPTH OF WATER /Z END PRESOAK AT //; 31/ A.M. P.M. DEPTH OF WATER TEST DATA TIME READING l� l 4 7 iy 1z ,y z PERC RATE 3'S MIN. / IN. COMMENTS: