HomeMy WebLinkAbout1975-1-20 - 125 Carriage Drive - Septic Application01omit of #out4 Mubsor
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 c�.�..�-. th......7.e.....�:. .!4..?..i.<..'S-.....5.'r.t.........!::....EY ....................... Permit No. ...
Date...........................................................................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair . . or construction .... of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property Address of Owner :=:s..... r� K e /t^ ��.:..1 �:<; ;.........
...................................................................-
2. Location of Property 'r%;�!�') �/.L, .... <':'A ..Fs`.........-. ....... �.............. Lot No.
3. Type of Structure {' mac_ G"
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ... ... rlE.. :..)....F..= .-ti.l..y...................................................................................................
5. Number of Bedrooms rN: .F.F...c3) P,!5-[L P - T f <.7• I
6. Average Daily Flow .........................................
Manufacturer and
7. Liquid Capacity of Septic Tank ./.....00e,,, A,tc 5......,.. Material of Septic Tank...............................
8. Soil Conditions: Type of Soil ........................................ ..........
..........�... �_._ .........,.... ,...._.._ ...
(Sand, Gravel, Clay, etc.)
Maximum ground water table ...............................
9. If not served by public water supply:
Distance from Owner's well ........ _.......
From adjacent wells ....................._...... ...... _..._ ..
10. Distance to nearest water course, drainage ditch, storm drain or embankment....z.-z...F::F,E_;T......;.:...........................................„
11. Percolation Tests: Time for 1" drop in soil test .................
..................................................................................................
Classification of soil ........ ................
-•-----
12. Minimum square feet of effective seepage area required ...................
13. Leaching System: Number of trenches ............. Length ......!.:.: .._t :.i ::.................... Width ...............................................
Total..._..._.- Other .................................................................._.................. ..............
14. Plot Plan Attached. +..f.......... ...... .
15. Layout Approved. ..._........................
16. This permit expires ................................. ...................... ............... ...............
Signature... .............. .... ........ ..... ........... ...... .... ....
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
......................... y
B - :.,
PollutionProblem abated Date........................................................................ �.........,....�........ .......... ...... ....... ......._..............
Inspector
R jMG L'?T Y41_ Ohr XAF 1-1 TITIED-
O
a
k
O
ExIs/,
CARRIAGE
cone:
Mon
47.85
Fi^AND HILL ES T a1 &31" '!AY 2, 7.970
Y 7,VF)ED- T104 1372
1 4
00
0�/
BULL/l
� 51.0 ! �r 've-
y 53.36 _ _ —,. 9 4NC,y jry
f �
LOT 41
LOT 42
Ex i at.
/.P
N
42 LINEAL FN, BELliOOIi
Exist. LAID IW 3 FT. WID'S TREFa./H.ES FILLET)
48 /6 Exisl. /.P r:ITH W: _H .�J G=taVEL �� MOKai VINE
FC r D�;F1gi OF 18 IT'C:JES, '?'RF*1CjiE;>
T37 SPACED 12 FEET C.O.C. MIN,
LOT 43 I
I HERBY CERTIFY THIS PLAN
SUBSTANTIALLY CORRECT AND NO
ZCNING REG ION'S JI "vD.
7-
LOT 4
PL 0 T PLAN FOR
LOr 44 L/ P Al A N
izs CARRIAGE OR. SOUTH WINDSOR
CONNECT! CUT
SCALE: 1 "- 40' ✓AN 20, /975
✓A MES E. SHEEH Y L S 7054
A y`.
:#� ;� �� -
.., ,tea, _ __ --
+5.0 ■_