HomeMy WebLinkAboutSeptic New 00 Windsorville Road down of #v* 18inbsor
Department of Pollution Control
SOUTH WINDSOB, CONNECTICUT'
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $............20.R.00...... By Bud..l.dixg...1)e.par.:Amext....-....'1.0....JaAUVXY.-, 1.973......... Permit No. ..7..3-.1.5........................................
Date 02....A Pr-i ,.,.....1.97..3...........................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ......... or construction XP(. of an individual sewage disposal system concerning which the following
information is submitted:
15 South Street
1. Owner of Property ...........Oliver„TheriAn...................................... Address of Owner ...WiAUQK,,Locke.,,,,,Coa
2. Location of Property ........................Wixdmaruille....Road....................................................................................................... Lot No. ..............................
3. Type of Structure ..............Dwelling...................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ...........nG.....(.1.).....f family....................................................................................................
-- 5: Number of Bedrooms ...Two.....(.2).....................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ..1..,000...G4.1..10%9$........ Material of Septic Tank ......Hug,ixaki....-....c.O.A r.a.ta...............
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 ....7..5...ft........... .ee....Wel1 Permit # 14686 attached.
................
Fromadjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment............................................................................I...........
11. Percolation Tests: Time for 1" drop in soil test .......2'.W.o.....(. .)....mi utes.................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required 125..,sq„.ft.,,,per.,,bed room.,....t0tA1.....Of,.,375.... q ft.
13. Leaching System: Number of trenches ..........Th,re.0....(3.)...... Length .... ....1.3.0 f t................. Width ...... .3....0.....f t t................
Total ....3.90....n...f.:lt.......... Other ........................................................................................................................................................................
14. Plot Plan Attached. ......Yea..............................................
15. Layout Approved. ............Yea.............................................
16. This permit expires .........02....June..,.....1..973-.........................................................
Signature ..................................................................................................................................................................................
Adam S. Wiaxiewrski (Licensed Drain Layer)W9-2d6559
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
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...............................................................................06....April........................ 19.......7..3.... By ......... .s�x.............................................................
....
PollutionProblem abated Date ................................;............................................ ...........................................................................................................
Inspector
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Scale = 40, ix 1" approximately LOCATION Wixdsorville Road
S T D/B OWNER Oliver Theriax
A 35 37 TYPE OF WORK Septic Field Ixstall tiox
B 35 41 DATE 0 -0 -73 PERMIT 73-13 PIPE4" O.B.
INSTALLER Adam 9-20 559
INSPECTOR ME DRAWN BY ME
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q- 'A;_ I HEREBY CERTIFY THIS MAP TO
BE SUBSTANTIALLY CORRECT ANDLIVE R T H E R I A
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c o; IN ACCORDANCE WITH CLASS A-Z . I
No.5032 2+�' ? CODE OF CONN. TECH ICAL COUNCIL' INC. w,of Se ry vi R D, scc,r w H ,,v p s o R
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