Loading...
HomeMy WebLinkAbout1976-10-29 - 102 Felt Road - Septic Applicationat OUut4 Vinhaar Departmentof Pollution Control SOUTH WINDSOR, CONVCTICY DRAIN LAYER'S PERMIT Application for permit Fee Paid $ ..... ... . . ... ..... ... ... By (�17sta), or Repair Individual Sewage Disposal System .. .. . . . . .... ........... . .. .. ..... . .. .... -.. ................. Permit No forrepair . ......................... . ..................... _, or c%instruction P"rsu4n' to written app"cati011, Permission is Date ............. ... ....... .... information is submitted: her granted to the Lice I. 01-vner of p�, of an individual Sewage disposal system License Drain Layer 'lamed herein 2. Location of pperty .... . ............ . .. ....... .. . . .. ..... r ............ ... conc*rn'ng which the &jjowing 3. Type of St., roperty ...... . .. .............. ........ ......... ....... Address of cture .. ............ .............. Owner 4, Nuzber of Families -.- ...... ............ .. ...... . . . rsons to occupy [Dwell' ................... 5. NumWr of Bedroo. or Pe ... . .... ..... Biji ................ I- Lot 6. Average Daily Flows ........ .......... -Premises. .. ..... . . ... ..... '119, Store, etc.) ... ................. * ............ .......... ................ 7. Liquid Capad .............. ; . . ..... . .......... 8. soil collditionty Of Septic Tank s: Al'nufact0rer and Type of soil . ... ..... .. .... ................. ........................ Material of Septic Tank, 9. if not served by maximum groluld water table e ............................. . .. .................. ............. ....... .... ............... ................. .. ........ . ........ Distance Public water supply: (Stnd' ....... ............. ... . ..... ....... -from C�Wnees well . . .. ...................... ....... ....... ... ..................... F10,11 adjacent wells .................... ....... 10' Distance to ne .......... arest water cou., 11' Percolation Tests.. .. ........... Time for drama ditch, drop I '5toryn drain Or embankment -12, Minimum Classigcation of s "a soil test .... ............ oil 13. Leaching Square- feet Of effecti-v ...... ........ ......... . ...................... ........................ Systenl: Number of e seepage area reqUired . ... .. .. ... .. .... .. ............... I......., ........... I-- .................................. ... 14. Total .. trenches ...... .............. .......... . . ..... ..... ... ... .. .... ..... ......... - .......... Plot Plan Attached ...... ..................... Other Length .......... _ ................ 15- Layout Approved ......... ....... .................... ......... . ................ ............ Width ...................... . . .......... IS. This perwit ............ .. .................. .......... ...... .................... expires. ....... C44 /V)v ........ .......... ....... ...... ........... ........ ......... Signature .... . .......... ..... ............. . 'sta"a "On COrqpleted, Inspected and Approved in accordance with St [Licensed &ja-,1,1Yer) ....... .......... ....... .......... e Ll . c He e and Local Ordinances. .. ............. ............ ..................... 19.A B lutfon y Proble'll abated Date . . .. ................ ..... .............. . ... .. ...................... Inspector . ..... ...... . ................. . . .............