HomeMy WebLinkAbout1973-5-25 - 100 Bidwell Road - Septic ApplicationUlaturt of n i n
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
10.00 94!ePX... No . 118 ... Permit No..73...-.�3.........................................
Fee Paid $ .. ................... B ........�......
Date ?5...;!i12...1..97.3............... I..................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ...X.. or construction ....... of an individual sewage disposal system concerning which the following
information is submitted:
P.O. Box 415
1. Owner of Property. ,..,.......J.tE.S...:...Realty.......................................... Address of Owner...t..W�.?�a.4.,..................................
2. Location of Property ......1,00„Bidwell. Road (Yoh ZTeduestx`.cB.....Ixe..l.................................. Lot No
3. Type of Structure ............... .Conm.e.reial.......... ............ ................. ......... ............ .......................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises .......... Approximat.ely....1.00-per.sox,s...........................................................
5. Number of Bedrooms ...-.-.-.-.-..- .-.-.-........
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank 4,000. ,gallon Material of Septic Tank ....Exi.m.tixz... .n !;..Q.wzrA, e................
8. Soil Conditions: Type of Soil ... "-.- nd.... ................ .............................. .......... .................................... ................................................................................
(Sand, Gravel, Clay, etc.)
Maximum ground water table .. ...........--.-.................--...................,.....:.:....,.................... ........................
9. If not served by public water supply: m
Distance from Owner's well ......................................................................-
From adjacent wells ......... ...... ............. :................................................ ....
10. Distance to nearest water course, drainage ditch, storm drain or embankment .::.....:.......... _..........
,,......„..,...:.:...„„„ ...... ..........
11. Percolation Tests: Time for 1" drop in soil test.....Rtpair................................................................................................................................................
Classificationof soil ...................................................... ......_..........-......-......-......................... ........:--.... ....... -............ .....M.......... _......... ..
12. Minimum square feet of effective seepage area required .............W.........•......._...........,........................................................—.......-.........................
13. Leaching System: Number of trenches .................. Length _ ::............................... ......... ....... Width ...................................................
Total .........., ............................... Other ............
„„..„._.
14. Plot Plan Attached. .... X.e.a............................................
15. Layout Approved. ......Tem.............................................
16. This permit expires ....25..- jay. ......19.7..3..................-......................................
17. NOTE: Approximately 50% of origiNal fiend still i.use.
;, .�,-
Signature ....,I. ,... C.a,., ....... ... �...:...,.. �„ :.,.......i ..
A an Wiaxiewaki (Licensed Drain Layer)W9-206559
Tngtallatinn C'.mmnlPtPrl,TnQnPrterl and Aptnrnved in accordance with State Public _Health Code and Local Ordinances
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-:::.:..:.......................................................:w».................._...........,.,......,....,:...... 19...,...:,.:.—i By ......:.: ....... ,...::...........
Pollution Problem abated Date.........29...MaYy..,.....1.9-73......................... Alvix..F �znrde,...Jr............................_,....
Inspector
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