HomeMy WebLinkAbout1972-3-14 - 105 Ident Road - Septic ApplicationEnnm nf $nuih minham‘
Department of Pollution Contiga ’-
SOUTH WINDSOR,CONNECTICUT
DRAIN LAYER’S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $..................................By ................................................................................................................................................Permit No..ZazQfZ .........................................
Date .................n A...Mamh..,......1.9f22 ........
Pursuant to written application,permission is hereby granted to the Licensed Drain Layer named herein
of an individual sewage disposal system conceming which the followingforrepairorconstruction
information is submitted:
1.Owner of Property ..................................................................................................Address of Owner ...................................................................................................
Location of Property ........................................................................................................................../.5 ................................................&ot No.g—.............
Type of Structure ................................................................................................................................................................................................................................................................
(Dwelling,Commercial Building,Store,etc.)
2.
3
4.Number of Families or Persons to Occupy Premises .................................i .............................................................................................................................
5.Number of Bedroo s V,...............
6.Average Daily Flo ...................................................
Manufacturer and
7.Liquid Capacity of Septic Tank 1M4)....................................Material of Septic Tank JaZm..Skl—.o..re.e ..................
8.Soil Conditions:Type of Soil .............................................................................................................................................................................................................................
(Sand,Gravel,Clay,etc.)
Signature ..................................................................................................................................................................................Robert F.KelliherLicensed Drain Layer)
(W9—206159)
Installation Completed,Inspected and Approved in accordance with State Public Health Code and Eocal Ordinances
££L>GA</i’iv
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...............................................................................29Ma.........................19-2.2........By ..............M........l............d w................................................................
Pollution Problem abated Date .........................................................................................................................................................................................................................
Inspector
Maximum ground water table ..............................................................................................................................................................................
9.If not served by public water supply'
Distance from Owner’s well..5i ..............................................
From adjacent wells .............................................................................................
10 Distance to nearest water course,drainage ditch,storm drain or embankment
ll:Percolation Tests:Time for 1”drop in soil test .......EMW‘M‘JIA/
Classihcation of soil ..................................................................,...................................................................................................L/__i
l2.Minimum square feet of edective seepage area required Iég .....................................................................................................L/f5
13.Leaching System:Number of trenches Thr.......(3..............Length ............3.7..Q....f...t.s...~............Width ..........cé JO]......................
Total .519 .....S q:.....fut:.......Other .........................................................................................................................................................................
l4.Plot Plan Attached................................................................
15.Layout Approved..............¥§§............................................
16.This permit expires 14Ma§f71972 .............................................................
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SOUTH WINDSOR POLLUTION CONTROLLOCATIONIdentRoad(Lot 2)
OWNER
TYPE OF WORK Sgptic Installation
DATE mam—79 PERMIT 7?_o7 PIPELw 0.3.INSTALLERKeniher (W9—206159)
INSPECTORME DRAWN BY ME
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TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR,CONN.06074
DEPARTMENT POLLUTION CONTROL
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
By .V L ,Date
The Sanitary Sewer ........Septic System ..........
at ......................I’’.05 ......................
or lot #...............has been installed and completed