HomeMy WebLinkAbout2013-9-10 - 101 Colony Road - Septic Permit to DischargeTown of South Windsor — Health Department
1540 Sullivan Avenue, South Windsor, CT 06074
rr•''=•<<`- Phone: 860-644-2511 ext. 248 Fax: 860-644-7280
PERMIT TO DISCHARGE
Approval is hereby given to _ �� !, XN�S in accordance with Public
(Property Owner)
Health Code Section 19-13-B103e (h) to discharge to a subsurface sewage disposal system located at
(Street Address)
in the town of S i,��1,� f oaf , CT that will receive domestic sewage from a:
Residential building containing
Restaurant containing
Commercial/Office building providing
Other structure as described:
bedrooms. Single family (Y/N):
square feet.
Design Flow = gallons per day. Permitted Flow = gallons per day.
The design flow shall equal the permitted flow, except for non -compliant repairs (See Section IV D).
In order to provide a sufficient factor of safety it is recommended that the average daily discharge not
exceed 2/3 of the permitted flow or gallons per day.
Operation and Maintenance: Septic tank shall be inspected regularly and pumped as needed but not
less frequently than every five years. The septic tank has an effluent filter (Y/N) Y . Effluent filters
require periodic cleaning. Failure to clean filters can result in sewage backup into the building or effluent
breakout. Restaurants serviced by external grease interceptor tank(s) require quarterlyinspections and
cleaning as necessary. Tank pump -outs tracked by local health department (YIN) ltIf yes,
stipulate pump -out requirements:
Special Requirements and Restrictions: 1. In the future if there is a SgRtic Ustem malfunction or
failure, it must be addressed.
Exceptions (Repairs Only):
File Information: Construction Permit No.
Approved as -built on file (Y/N) Y
Date of Final Inspection: 9 511 -27;, Inspected By:
Permit Issuance: Issued by: S 6n, ' Title: � 1. }- � � l-� 0�-k- ce,,-
(Director of Hea h or Registered Sanitarian)
Signature: 4�Date: `� f 0 i
SCANNED