HomeMy WebLinkAbout1972-10-4 - 24 Hayes Road - Septic Application@nmn nf $nmh minhanr
Department of Pollution Control
SOUTH WINDSOR,CONNECTICUT
DRAIN LAYER’S PERMIT
fApplicationforPermittoInstallor'"Individual Sewage Disposal System
Date .........@CV‘H71
Pursuant to written application,permission is hereby granted to the Licensed Drain Layer named herein
for repair or construction .........of an individual sewage §sposal system concerning which the following
information is submitted:
Owner of Property .....................line ....................................Address of Owner 21}
Location of Property .............................................................................................................................................................................................Lot No.509(1 956)
Type of Structure ......................................................................................................................................................................................................................................
(Dwelling,Commercial Building,Store,etc.)
Installation Completed,Inspected and Approved in accordance with State Public Health Code and Local Ordinances '
Pollution Problem abated Date ......"0.4%.,”Q.c.toh.e.r..,......’.l.9.7.2....,....../::1’..,Mel.v..in....Edwar.de..,....Jr.”..............................................................
Inspector
4.
5.
Number of Families or Persons to Occupy Premises ........................Li)................;...T ..........................................................................................................
Number of Bedrooms ........................(5)...............
6.Average Daily Flow ...................................................
Liquid Capacity of Septic Tank .........................................................
Manufacturer
Material of Septic
and
Tank 5%(Jt;Soil Conditions:Type of Soil ...........................................................................................................................................................................................................................
(Sand,Gravel,Clay,etc.)
9.
Maximum ground water table ..................................................................................................................................................................
If not served by public water supply:
Dist%1ce'from Owner’s we%........................................................................
From adJacent wells .............................................................................................
10.Distance to nearest water course,drainage ditch,storm drain or embankment
ll.Percolation Tests:Time for l”drop in soil test ...............................................................................................................................................................................
Classihcation of soil ...................................................................................................................................................................................................
12.Minimum square feet of eEective seepage area required .......................’............................................................................................................................
l3.Leaching System:Number of trenches ........Qn.e,...(,...’l,.)................Length .........2.0.",fit........................Width .........20..v.f.i:..
Total ................................................Other ........fi.§ld.$...................................................................................................................
14.Plot Plan Attached.....X§§................................................
l5.Layout Approved.Yet?..............................................
16.This permit expires ........i?.................................................'Inf:...............................................
SigEatu-re ...........................'.(Licensed Dram Layer)
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SOUTH WINDSOR POLLUTION CONIROL
LOCATION 24 Hayes Road (Lot 509)OWNER ?auline Paquette
TYPE OF WORK Se p;t‘c RepairDATEqo—ou—72 PERMIT Largo PIEE4"PVCINSTALLERPaquette(131—2015923INSPECTORMEDRAWNBY ME
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