HomeMy WebLinkAbout1972-11-24 - 210 Carriage Drive - Septic ApplicationZotuit of fNiW4 Whibsor
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
FeePaid $ .. By .................................... ....... .......... ........ ......... ............................... ...........-.-.. 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 ...... ................. ......... ........._...............
2.
Location of Property . Z 1.0
Lot No.
3.
Type of Structure .........................--........................................................-
.....--.........................---.............................................:..._......,...........................................,...............
(Dwelling, Commercial Building, Store, etc.)
4.
Number of Families or Persons to Occupy Premises
..................... ...... .,...........,......,,......,.„...
5.
Number of Bedrooms .....................................
6.
Average Daily Flow ....................
Manufacturer and
7.
Liquid Capacity of Septic Tank . .....
Material of Septic Tank ............. ................... .............. .. �:..., ..:� ,,........
8.
Soil Conditions: Type of Soil . ... ...... ................:..........
.................-.-.................... .......... .... ... .................. ...... .... ........... .............................
(Sand, Gravel, Clay, etc.)
Maximum ground water table --....
.................................................... ... ..---- ....................................... ...... .. .M
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 ...... .............. ,................,...
11.
Percolation Tests: Time for 1" drop in soil test .............
Classificationof soil......................................
........................................................................... ................. ..-...-.--.-....,............ ........................
12.
Minimum square feet of effective seepage area required . ............ ..:::.................... ..................... ................. ............. ...............................M
13.
Leaching System: Number of trenches
Length ... ....... ................... :.......... ....... Width ... ............. ...:...............:..:...........
Total. ..... - ------ ... -_ .__ Other
. .......................-.-.........................................................................................
14.
Plot Plan Attached . ... ....................... ........... ...................
!3C
15.
16.
Layout Approved.
This permit expires
. .
. P,
-�.. , ,
Signature . ................... ......... .......... .... .... ... ........................................ ..................... ..... ..... .................. ...................
...........
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
............................................................................................................. 19 .................. By ... ....... ...... ........... ................ ......,.......m..._...M.. ......................._............_.....—.....
Pollution Problem abated Date ._..._. ....... ...._................................ ... .......
_....,............--...-...,............................................_............,
Inspector
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CONNECT/CUT LIGHr a POWER
BEING Lor*y ON MAP ENT/ YFj
"SAND HILL ESTATES" MAY ?, 1970
REVISED .' NOV. 1972
COMPANY
50.0 0 /00-00
-.4
8
L07" 9
of
,Z).
54-00
53, OF
Niti
PROPOSED
_138
5
B. R. R. R. 58.5
/000 aaI septic
tank
50' :.',WLDING LINE
O
rs
275.00 TO P. C. OF 150.00
CUL-DE-SAC
•
CARRIA G E
L I C 7,1
v
T,
F 1 T
DRIVE
PLOT PLAN FOR
L / P M A N
CA RR /A GE DR/ VE - SOUTH WINDSOR, CONN.
SCALE.' / If$ z 40' NOV. 13, 1972
JA MES E. SHEEHY L.S. 7034