HomeMy WebLinkAbout1972-9-26 - 141 Fairview Drive - Septic Application0ntutt tit t*nut4 Oubsor
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 Property1+1.........................................................................................................................................................................
Lot No...............................
3. Type of Structure ... ....... .......................................... .......... ......................
_.. .. . u ....... ....................... ....... ...,— ......... ......
(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.)
Maximumground water table .............. .......... ................... :.... .................. W... ...... ........ .......... ............... _............_............ .............
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....-5.............................................................................
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 ........ Fiv..e (.5.) .......... Length...342 .... f.t..... ................... Width --- ....,::........... .:..:,.....:...... .,....
Total.1_!].2.6....sq......f t....... Other ........... .............. ............... ..................................................................................... —
14. Plot Plan Attached. ..... .._ .................................I—,..........
15. Layout Approved. ....... .............:.......... ....... ......................
16. This permit expires .... ... ........................... ....:...,.....:......,............. ,................ .... .................. .
Signature.............................................................................................................. ............................................ ...
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
...........................................................2.4 O.c.t.ab.er.................. 19..........7..2. By ale yin...Fdti9rard.,.,,.+Jx................. ..................... ........... ..............
ti . I fi-
Pollution Problem abated Date .. ` _._._...... .....� ................. :_........................ ... _ ` ............
Inspector
I
i
N
NOTES
Scale = 40' in 1" approx.
S T #1 #2
A 23 -- --
B 26 28 31
S/T --- 21 25
_1
SOUTH WINDSOR POLLUTION CONTROL
LOCATION Fairview Drive (Lot 55)
OWNER U&R
TYPE OF WORK Swntic _Installation
DATE 10-24-72 PERMIT 72-85 PIPE4" O.B.
INSTALLER Reed (W9-2o6381)
INSPECTOR M L & ME DRAWN BY ME
f0it - PUs)PUS1-QLIQ Oil'LY
ma
Q -rR t.scH Foy Lor 53 3° } 0 �-
3f3i0 $ + L
,
�-o'r 56
--T
NO.
Nei
Uj
rQa
a� 8 .0 rrJ``
A-
�S5• Bo
,y
DRRlVE
PROPERTY OF
<A;o +•Zo o
Na A u ca . 10, l'; 1 l ey
C7=k'&SWo:.Q 4
Hoc : ���• Goa
EFF'CGTtvt l,L'Ac.�-tpVc� ARcz�l
SOO -• 30o L.iz-
F:" wtrz.c -r a =- t-lu{
W1�G TrZCNC-H-S07sq�=T
NoT�', REQU�¢rcC� M �NINU N�
Feu. oue�t ls+,y C'ae�- 'OF
SFPT�C SyST�M US
p� E Foal.
FAIRVIEW DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 55 on map entitled: "Timber Ridge Homes - Dc-r t Hill Rd.
& Ellington Rd. - South Windsor, Connecticut - Scale: 1" = 40' - Oct.
1968 - Griswold Engineering, Inc. - Sheet 3 of 7 - Revised: Feb. 15,
1971 - Section II Line."
SCALE: 1 " = 40'
DATE ; AUCLSST ��i� (2- _
GRISWOLD & FUSS, INC.
210 Main Street
MANCHESTER, CONNECTICUT
Y f! A T Ar'�r�p'rw
�ti h ,' `a �•'• mil+ { = C7 =
No.
n;s+x.xrNnnrnllndtl
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date - - .
The Sanitary Sewer .......( Septic System .. .
at
or lot # .............. has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
By -- _ _ Date --