HomeMy WebLinkAbout2013-9-5 - 101 Colony Road - Septic As Builtio'�� Stf
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1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074 '� 90
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TELEPHONE (860) 644-2511 soy rrF-�
Septic System As- Built Plan
Street Address f o �� C Date �
Permit Number
New Septic System __)� Repair of Septic System Alteration of System
Number of Bedrooms . � or Design Flow of Building
Type of system installed M an r,�
(e.g. stone trenches, infiltrators, galleries)
Square footage of system: Total lengthT % Width
Effective Area�S
Capacity of Tank % 6 0 b New Y Existing
Length of house sewer pipe '� 7 /
Minimum distance between septic tank and foundation , `7
cr�+I
Minimum distance between leaching field and foundation � d
Minimum distance between sewage system and nearest well G �!
Public water supply
Minimum distance between leaching system and property boundary
Curtain drain required? Yes No
Minimum distance from leaching field to drains
(curtain drain, foundation, stormwater, etc.)
Septic System As- Built Plan
Address Date �L
Location of System
(N, S, E, W, front, back side of house)
Draft a substantially correct drawing showing separation distances of the septic system
installation. Include all of the following information to provide an accurate record of the entire
system location:
At least two sides of the building nearest the system, septic tank, house sewer, distribution boxes,
trench ends, dry wells, curtain drain, potable water supply wells and any other features affecting
the system and its location.
Installers NameLicense Number 3
Installers Address
(street, city, state and zip code)
Distance from corner A
Distance from comer B
Distance from corner C
Distance from comer D
RECEIVED
SEP 0.) 3
SOUTH WINDSOR
HEALTH DEP I-