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HomeMy WebLinkAbout1973-4-12 - 109 Hillside Drive - Septic Application@nwn nf §nmh minhanr Department of Pollution Control SOUTH WINDSOR,CONNECTICUT DRAIN LAYER’S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System Fee Paid $............1...9........By Calm.glinlllQaWI’zflfl.8 ................................................................................................Permit No.7345 ......................................... Date 12L .Apru,19?§ Pursuant to written application,permission is hereby granted to the Licensed Drain Layer named herein for repair XX or construction .........of an individual sewage disposal system conceming which the following information is submitted: 2. l. Location Owner of of Property Property ..................G. awe nywLrsmlinidliQh ......................................................................................................................................................................... ..................................Address of Owner ””103“iiillfnideuuDlziWr‘ Lot Nollilllfigii:X: 3 Number of Famlhes or Persons to Occupy Premises ........(.1).....itimolly.................................................................................................... Number of Bedrooms ..................... Average Daily Flow ...................................‘..........v v Manufacturer and Liquid Capacity of Septic Tank ............................................L ............Material of Septic Tank EXlStll‘ig ...................................................... Soil Conditions:Type of Soil ............................................................................................................................................................................................................................ (Sand,Gravel,Clay,etc.) Maximum ground water table ..................................................................................................................................................................7 .......... 9.If not served by public water supply: Distance from Owner’s well PabllC‘WLerSUpplV Type of Structure ...............Dhlgllit‘ig ................................................................................................................................................................................................................... (Dwellmg,Commercml Building,Store,etc) O’DO'lHk oo1~ l6.This permit expires .........l 2Juh€ol973 ....................................................(,L/t Signature,AQC WM»<\j J '4/M/U¢’LJ§}l:l Ad iri $\Wl a'ilcwiokl (Licensed Dram Layer (“f9 206559) Installation Completed,Inspected and Approved in accordance with State Public Health Code and Local Ordinances From adjacent wells ............................................................................................. 10.Distance to nearest water course drainage ditch storm drain or embankment 11.Percolation Tests Time for 1”drop 1n s01l test .......Re.........glob.Classmcation of scll .................................................................................................................................................................................................... l2.Minimum square feet of eEective seepage area required 3'25m5iqwfto l3.Leaching System:Number of trenches WWW”.....(5.......Length ............3.3.5.“.ii23 ..............Width m.O... Total 3.5Sq.t............Other ................................................................................................................................................................. l4.Plot Plan Attached.......N.................................................. l5.Layout Approved.............Yes ............................................ ...................................................................................................................................19 ..................By ............................................................................................................................................... Pollution Problem abated Date .............................laAUI‘J“.....awl92z Melvin Edinzerdg,Jr. Inspector i i i§§§lIi ‘fi 2§ A f [Q fg lai4 x) fl q: I/ NOTES Scale =brO‘ira 1"w 91aA3155B5052 SOUTH WINDSOR POLLUTION CONTROL LOCATION 109 Hillside Drive,(Lot 8o) OWNER Guy L.Waidlich TYPE OF WORK Septic Fi@ld Rszpazir DATE 01+~12~7E PERMIT 72,46 PIPER"O.B. INSTALLER Adam (W9—206559) INS?ECTOR ME DRAWN BY ME