HomeMy WebLinkAbout1973-11-5 - 120 Hilton Drive - Septic ApplicationEmmi nf $mrth 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 $...4...T10...OO‘.By s.s.Adam....W.isnieski..........................................................................................Permit No.23a6i£..........................................
Date Nov.51973
Pursuant to written application,permission is hereby granted to the Licensed Drain Layer named herein
for repair X or construction .........of an individual sewage disposal system conceming which the following
information is submitted:
Owner of Property .....B enwallmen ......................................................Address of Owner ......1.0.ll.0..........................................................
Location of Property Same ...........................................................................................................................................................................Lot No.
Type of Structure dwell-111E ................................................................................................................................................................................................................
(Dwelling,Commercial Building,Store,etc.)
Number of Families or Persons to Occupy Premises .........9%......(................................................................................................................................
Number of Bedrooms ...ee.5............
Average Daily Flow ...................................................
Manufacturer and
Liquid Capacity of Septic Tank looOGal'.........................Material of Septic Tank ”ml-.lang ........................................................
Soil Conditions:Type of Soil ....................J CWQfCP’i/...........................................................................................................................................
(Sand,Gravel,Clay,etc.)
Maximum ground water table 4’471/VJ.”.........................................................................................................................................
If not served water
10.
11.
l2.
13.
14.
15.
l6.
Installation Completed,Inspected and Approved in accordance with State Public Health Code and Local Ordinances
.............................................../.........................................................
Pollution Problem abated Date ..............................................................................
/‘
”riff/V \S 1 .............By ...........................................................................................................................................
Distance from Owner’s well .............C................................................
From adjacent wells JM/.............................................
Distance to nearest water course,drainage ditch,storm drain or embankment ..........Mv’VE:...............................................
Percolation Tests:Time for l”drop in soil test ...........//'W"//:.......................................................................................................................................
Classihcation of soil ....................................................................................................................................................................................................
Minimum square feet of eEective seepage area required ...................................................................................................................................................
Leaching System:Number of trenches ................(.........................Length 5Q,’5Q;25,’Width ......thggg....§3.et.........
Total ................................................Other .........................................................................................................................................................................
Plot Plan Attached}?...........................................................
Layout Approved.............65 .......................................
This permit expires an".....5.9................................................................l.V c
Signature,’
(Licensed Drain Layer)
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NOTES SOUTH WINDSOR POLLUTION CONIROL
LOCATION /§:’T %//"/',//“/5%?
OWNER 47/,v ~,lj/K"1/,_:"/;/al.si.
TYPE OF WORK f3
DATE W J ?‘;’<?ERMIT .PIPE ''i
INSTALLER /’/,<7/’7/
INSPECTOR V 5 DRAWN BY ,“