HomeMy WebLinkAbout1972-3-14 - 119 Ident Road - Septic ApplicationEnwn nf $mrth minham‘
Department of Pollution Control
SOUTH WINDSOR,CONNECTICUT
DRAIN LAYER’S PERMIT
Application for Permit to IEstall or Repair Individual Sewage Disposal System
Fee Paid $....................................By .........................i3................................................................................E;l ....................................Permit NO.7.—..........................................
Date .................1....c.,.9.2 ........
Pursuant to written application,permission is hereby granted to the Licensed Drain Layer named herein
for repair or construction .........of an individual Pewage disposal system conceming which the following
information is submitted:
Owner of Property ..................................................................................................Addre§of Owner ............................................................................
Location of Property ...........................................................................................................//?.......................................................................Lot No.............l .................
3 Type of Structure ...............................................................................................................................................................................................................................................................
(Dwelling,Commercial Building,Store,etc.)
Number of Families or Persons to Occupy Premises ............................................................................................................................
Number of Bedrooms ..........................C ..................
Average Daily Flow ..................................................
1.
2.
9301?.Manufacturer and
Liquid Capacity of Septic Tank [WCJ&..................Material of Septic Tank JazmlnSklTCOIlCI‘ete ..................
Soil Conditions:Type of Soil ..........................................................................................................................................................................................'................................
(Sand,Gravel,Clay,etc.)
Maximum ground water table .............................................................................................................................................................................
9.If not served
From
Distance
adjacent
by
frompublic Owner’s
wells
water
........................
supply;
well i .b
..................................................................
f
............................................................
’$Q$'’MaxiI -"%D>~
10.Distance to nearest water course,drainage ditch,storm drain or embankment .......................................................................................
11.Percolation Tests:Time for 1”drop in soil test ......gm’V/m .........................................................................................................................................
12.Minimum square feet
Classihcation
of eEective
of
seepage
soil .................................................................
area required [d5&1§I .....................................................................................................................................
r ..............
13.Leaching System:Number of trenches ..,.......Thrr.ee....(.3z)......Length ............1 ..].....ft................Width .........................
Total .23.q-...Other .........................................................................................................................................................................
l4.Plot Plan Attached................................................................
l5.Layout ApprovedYeS .........................................
16.This permit expires ’lLtMa ,.,,..u.197.2 .............................................................
Signature ..................................................................................................................................................................................
Robert F.Kelliher(Licensed Drgn Layer)(wg—2o61 59)
Installation Completed,Inspected and Approved in accordance with State Public Health Code and Local Ordinances2%;geemwzag KI.................................................................................29Ma.c........................19,]?.......By Melvin Edwards H'
Pollution Problem abated Date ..........................................................................................................................................................................................................................Inspector
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NOTES Scale :50'in 1"approx.
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A 27.5 35-5B39.5 47.6
SOUTH WINDSOR POLLUTION CONIROLLOCATIONIdentRoad(Lot 1)
OWNERTYPE OF WORK Septic Installation
DATE O —2 —2 PERMIT 2—06 PIPELH'O.B.INSTALLER Kelliher W9—20 159
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