HomeMy WebLinkAbout1972-11-7 - 2250 Ellington Road - Septic ApplicationGoiun of #vut4 Vinbsor
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid B ................ Permit No.....::.................................................
y................................................................. �..�.�......,-
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 ...... .......................--- ............ ....................... ............. .......... ...M. -.......................................... 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 .................. ...... M... �..
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 _ ................ .......... ..............::.............
_...,...., .,.
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 .... ... .... ...... ...... ..... ........ ............. I.. .............. .-...-.....-......................,...................................................
12. Minimum square feet of effective seepage area required ....... .... ...........
...:.....:.........:.:..........:...............................
..,.,....:.........................
13. Leaching System: Number of trenches........Two.....(2.).............. Length..........1.3Q.._ft..q.........-....... Width ...................................................
Total Other ..... ................ :........... ._......... ---- ............................... ......_..... _.................. .............................
....,
r,
14. Plot Plan Attached..........�.�.,.:................................ � -�
15. Layout Approved. _
Yes C,'
16. This permit expires .
Signature ...... .................... I ..........
,....
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with S e Public Health Code and Local Ordinances
22 November ................................ 19.........M By ....-..........elvin...Edwards.+..,.`�r.�.........:............... .......................... ....,.....
PollutionProblem abated Date .............. ................. ....... ........................ .._......... ..................................... ....... ............... »..................... .... .
Inspector
SEPTiG, ,')Y s I L KI,
4Z LlNr_AL II EET OF I !LC Pr__F
8E:DW)('Nl 11_11J�j W4 3 'r-i.
V;: I fl
RAVEL 0" FC:Z A
OF !,� TRL"NICHES
0 B E :,PA' L ', _2 FLUF C, . 0. C, MIN. LOT 22
JJV
161.38
1-07* 26
30,927 29 sq. ft.
/000 eAi---L
(D SEPTIC rAN
000
qv
0 51
PROPOSED
3 S.R. RAISED
RANCH
v
50 BUILDING LINE
ip
161.36
ELLINGTON ROAD
lk
NN
BEINS LOT 26 ON MAP ENT/TEED
00 SAND mai. ESTATES
MAY 2 , 1970
PL or PL AN FOR
L P M A IV
ELLINGTON ROAD -SOUTH WINDSOR, CONN.
SCALE* 1mjr40' MARCH 28j, 19 72'
JAMES E. SHEEHY L.S. 7054