HomeMy WebLinkAbout1973-5-18 - 244 Carriage Drive - Septic ApplicationT"t"'t of #n* 19inbsor
Departinent of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $ By Q !Tr to Buildixg.. Dep�rtj.ext„ 73,39
.............................. Permit No. ...-...._:.........
...
...................................
Date ................._— m.i..... 1973
........................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ......... or construction XX... of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property ...........+lorry.., ].p........................... .........,..... Address of Owner .-.1....LipBIax DmV.........................................
2. Location of Property C
.........x'......:............ Lot No. ........
Ea...................
3. Type of Structure Dwell ' x .....
welling, Commercial Budding, Store, etc.)
4. Number of Families or Persons to Occupy Premises e '
5. Number of Bedrooms ..Three
�.3..) ..............
6. Average Daily Flow ........:.............. .._..: _;;........
Manufacturer and
7. Liquid Capacity of Septic Tank .?..,DO...$a�llox Material of Septic Tank ....Arrow,,,- ,eoxerete
8. Soil Conditions: Type of Soil ..........
...,......._......._.................::::.. ....... ...................._.....
(Sand, Gravel, Clay, etc.)
Maximum ground water table .............. �............
9. If not served bpublicm ..:................................,........:.._...........
y water supply: .......".......
Distance from Owners well .-.FE�}�,...............
.................
From adjacent wells ... ......... ......... .............
............,.......,...:.,...............- .._-........
10. Distance to nearest water course, drainage ditch, storm drain or embankment ......................
11. Percolation Tests: Time for Y' drop in soil test ....... six ....(6).....t�.xut�.e�,..._....................
Classificationof soil �......................................:............................::....._....
12. Minimum square feet of effective seepage area required 1,.,...._.:...................................................
13. LeachingS q 5... q... t,...parr...l� dracr .,.....t0.t& ,-r-f...-4.9.5 ...nq....rt.
System: Number of trenches .................... Length ..Width
14. Plot Plan Attached Total ...................................... Other........-.....,,............-..................._...........ti......-.............,..........................................,.,......,.,:
..........
.......::
,. Its:�.....................:.................... �.
w
15. Layout Approved, ..........,:,.,,
16. This permit expires .........1.8,.,July,,.,_ 1,9.7..3. ..............■
4%
Signature .........
r .._... r.............................. .......
..................... ............ -
'P • P� (Licensed Drain Layer) 9 2D.................. ...........................................C363
Lr'
nstallation Completed, Inspected and Approved in accordance ith State Public Health Code and Local Ordinances
............................ ................................................. 19.................. By .......................... ............ ...........................
ation Problem abated Date ...... ......... ........ ...............
..........,....................
Inspector