HomeMy WebLinkAbout1973-3-15 - 105 Farmstead Drive - Septic ApplicationMitutt of *ou* Mubsor
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
FeePaid $ By Check... No. 3Q63........ ...................................... ............................................. .....,-.-. 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 Property ..... ..................... .................. ...................................... ................ ....:.....-.......... :;.....,,...........
........... ..,.....,.......... Lot No. ..............................
3. Type of Structure . ... ......... .......... ............... ................................................................................ ..:............. _.......... ...... ... ..... mm--........................... ................
(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........................................................... ................... ........................ W...,........... ..........................
........................,....M....
(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 ........ ............... --.................. ........................ w...........
11. Percolation Tests: Time for 1" drop in soil test ........ :......................... ................... ............................................. ,..................... - ..............................
Classificationof soil .. .......... .... ..... ..... ..................................... .-............. ..... ... .......................... ........:.....:.......... ...,....,,....,. �...,................
12. Minimum square feet of effective seepage area required ................................................ .......,.................... ................ ...................._.................
13. Leaching System: Number of trenches ........Thre.e....(.3)... ... Length ..........73 ,.• .t .............. Width ...........,.,,..:..;......,..:....................
Total 39.0 .... sq f.t........ .... Other Re. ac.ed...ho.uae....ze . i�o�e........................
14. Plot Plan Attached . ..... ..........................................
15. Layout Approved. . .... ... Ye.e..............................................
16. This permit expires ............
Signature...-.-....-.-..-: ........... .................. .--.......-....,-...--.......... ........... ..,............... ....... ........... ....... ....-.....,.,.......................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
............... I .............. .......... .28 March 19.....73....... By Mely i � s[ l .s...Jr'-.... ..............
Pollution Problem abated Date.................................................:............:..................... ..... .............. ........................................... .......................................
...,.....
Inspector
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 10 Farnham Road
OWNER Richard Tracy
TYPE OF WORK Se tic Field Re air
DATE 03-2 -73 PERMIT 73-06 PIPE4" O.B.
INSTALLER ARSM (Wg-7nAggq)
INSPECTOR ME DRAWN BY ME