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HomeMy WebLinkAbout1973-7-30 - 239 Griffin Road - Septic ApplicationWentworth Estates R.J. Alexander, Inc. calourn of '*oW4 lailtboor Department of Pollution Control SOUTH WINDSOR, CONNECTICUT DRAIN LAYER'S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System Fee Paid $ .. 20.00... By Owner....to Bui1ding...Dcpt...x....95.-30.-7.3........:............... Permit No, 73-4............................. I............ Date'. .. !N4..13.......... ........................ Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein for repair ....... or construction .....X of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Property .. ................................... Address of Owner ................Grif.f ay... Road ........................................ 2. Location of Property lbLest...side..,...b.etw.een...B.r..aokf.ia1d...&..ERR ............................................................ Lot No. ........ 2.1................ 3. Type of Structure ............... Dual -ling ................. . ......................................... ............. ..................................................... ................................................................................ (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons to Occupy Premises ........... Oxx.G.....(..1.1..family............................:....................................................................... 5. Number of Bedrooms ...Three (3) ............. 6. Average Daily Flow ................................................ Manufacturer and 7. Liquid Capacity of Septic Tank .J.,AQ�....galla.xm....... Material of Septic Tank ....RotuY�o so..►erete 8. Soil Conditions: Type of Soil .......... .._.....w........_....... ........ .................. ......... ............................_................ ...........�.....,........ (Sand, Gravel, Clay, etc.) Maximum ground water table............................................................... ....... ...... ........... ......... ................... .......................... ........................... 9. If not served by public water supply: Distance from Owner's well ...Public water ................ From adjacent wells .......... ..................... _........... ... ........... ........ ........... .. 10. Distance to nearest water course, drainage ditch, storm drain or embankment _ ...:...::...... :.................................. ............. 11. Percolation Tests: 1....7..5'.'./��.�................... Classificationof soil ........................................................... ... -...... ......... ........ ..... .......... ..................................... .......... 12. Minimum square feet of effective seepage area required 1.25....4q...ft,,Per .!b drooq,,.,,,,tott�l of 3.75... gC1 ft. 13. Leaching System: Number of trenches......................7.................... Length ..,L Z. ......FT_ ....... ....... Width ............... Total.3.*.1......5:....2 :... Other..............................................:................................................................................................................... 14. Plot Plan Attached. ......Yes ............................................. 15. Layout Approved . ................. ........ ........................... 16. This permit expires .............. _iPe tmber.... 73............. 1 ',Lx A, Si ature ,...... Arktux• R1t ���IGSF'...........................................,. ................ (Licensed Drain Layer) Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances _.._....._.....�-........._.............. _........ .. ................... 19.,_�_f.,.. By.......... ........ ................ _..... _.......................... ....................,...._....... ......... PollutionProblem abated Date.............................................................................. ..................................................... .. Inspector N I IS, a pt 10 NOTES SOUTH WINDSOR POLLUTION CONTROL `��� /'Q LOCATION T 1 wF,vrwoe;-P Fs?vJ�rs �1 23 r OWNER,, ti TYPE OF WORK F,� `� DATE ?/ 64wo,)? PERMIT PIPE ZArr?7r- INSTALLER F INSPECTOR x2r DRAWN BY r�s 7, "r ­j 1,-,� jr 4, X� 1,0T 22 7:7 N 2 ri 91 10 �OA 0 �z 9 00 C TA 0 40 \50 f 2 0 ?114 O F 3 N 19, L Coto NIA CLO po)0 3� 3 16.00 C)1,11AVEL OR L fji_PTfi f-)F 18 o,c,w:� ;,0 PEF- FEE O C. L,0T ZI LOT /9 B e)!;;9-20 ER INC. PROPERTY OF parcel A I C- V A Al /) r-,Q All^ 0�0,1 Awe ashohs , - py .ZR .1 H � QR -11 B Y j- f: i 3UBSTAI > IL I'D-1-LY AND 1,10 MING ,tDJ,1Xf 1wON". ZVr-r� _t 2) 0 -ON P.c - D GRIFFIN RD. — SOUTH WINDSOR, CONN. SCALE.' f 01 -C 400 MAY 29, 1973 JA M ES E. SHEENY L.S. 7034 TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR,CONN.06074 DEPARTMENT POLLUTION CONTROL Date ........................ in accordance with the Town of South Windsor ordinances and regulations. Accepted and Approved By Date The Sanitary Sewer ........Septic System .......... at .................................#ef ..7 ....... or lot #...............has been installed and completed