HomeMy WebLinkAboutSeptic New 7 Carriage 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 Byt.}a "� j. i.'.'.:.....` '... :.. i�rt> r# . F ...........................'............. PermitNo r..
Date .........'........:::.:................. ...........................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ......... or construction ..;j.... of an individual sewage disposal system concerning which the following
information is submitted: j
1. Owner of Property .......:...:: :::.::! :..:4::................................................................. Address of Owner ........................................................... .......................................
2. Location of Property
p rh' ................:..:.......:...:.:..::.........:::.-:.:::.:4°...............
7........................................... ........................................................ Lot No. .........:....................
3. Type of Structure ...............' :':.::.??.W
.................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ............'."=:.`.:....`': '. `.....7: ?_:.:.,f:;;:: „....,,,
SCANNED
5. Number of Bedrooms k*o4?':....`v'�
6. Average Daily Flow ..............................................
Manufacturer and
7. Liquid Capacity of Septic Tank .............i..4.r t ....,. '.`.. .: Material of Septic Tank ..... r .'.`
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 " '«>_.. ,........:....... .............................................:.........
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 ..',.... :::z............. ......: .. ......... .......:.
13. Leaching System: Number of trenches .. .................................... Length .::. :........................... Width ...... ...:....
_- Total-`.r::......�-r............................... Other .............................................................................: ....
14. Plot Plan Attached. ........
t,..,...............................................
15. Layout Approved.
16. This permit expires ........ .:.......:: ................:...................................................................
` : t
, I 0
r
Signature ... .............it ... l ... ..........................................................
7.1 (Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
19:::: ..:::.::: B -
.Pollution Problem abated Date .............................................................................. ..........................................................................................................................._...............
Inspector
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/ CPS
NOTES SOUTH WINDSOR POLLUTION CONTROL
Scale = 40, ix 1" approx. LOCATION a o )
AC = 23 OWNER.Jerry Li max
AD = 31 TYPE OF WORK Septic Field Ixatallatiox
BC = 23 DATE o4-02- PERMIT -08 PIPE 4,t O.B.
CD = 32 INSTALLER Pi ix (W -20636 )
INSPECTOR HWL DRAWN BY ME
LOT 4.6
p
LOT 47
o O
_ /000 GAL
O TANK O O
�� f� .. f 'tea
LOT 48 O o. f ,� y ,; =,.��
a M. A,�00 a,{
0 .
(wft��
RpP �01• oo
1.0 t BL"DG. LINE NZ
-Q 4Z !: , , ( �,= ME PER
hQ i :a FT� WIDE -
F5.00 ��
ia�
a i
D`R/V E _
BEING LOT' 47 ON MAP ENTITLED
"SAND HIL L ESTATES" MAY 2, 197P
REV1S ED. NOV. 1972
PLOT PL AN FOR
VI-OLAi•L11. _ L. ./ P - A
[' L/PMAN DRIVE SOUTH W/NOSOR, COH/V
SCALE; /„'44, NOY s, /97P
✓AMES E. SHEENY L.S. 7034
i TOWN OF SOUTH WINDSOR
TOWN HALL
: SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . . . . . . . . .
The Sanitary Sewer . . • • • • • • Septic System . . . . . . . . . .
. . . . . . . . . . . . . . .A�U . . . . . .
or lot . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
By Date