HomeMy WebLinkAbout1972-9-19 - 185 Lake Street - Septic Application@nmn nf $nuth minhanr
Department of Pollution Control
SOUTH WINDSOR,CONNECTICUT
DRTLN NW S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $....................................By .................................................................................................................................................Permit No.............................................................
Date ...........................................................................
Pursuant to written application,permission is hereby granted to the Licensed Drain Layer named herein
for repair ........or construction .........of an individual sewage disposal system concerning which the following
information is submitted:
l.Owner of Property .....................................'.............................................................Address of Owner ...................................................................................................
2.Location of Property ’55 .............................................................................................................................................................................Lot No...............................
3 Type of Structure ................................................................................................................................................................................................................................................................
(Dwelling,Commercial Building,Store,et%
Number of Bedrooms ................................................
Average Daily Flow ..................................................
Manufacturer and
Liquid Capacity of Septic Tank .........................................................Material of Septic Tank ..........................................................................................
Soil Conditions:Type of Soil .............................................................................................................................................................................................................................
(Sand,Gravel,Clay,etc.)
Maximum ground water table .............................................................................................................................................................................
If not served by public water supply:
Distance from ‘Owner’s well .........................a ..............................................
From adjacent wells .............................................................................................
10.Distance to nearest water course,drainage ditch,storm drain or embankment .......................................................................................
11.Percolation Tests:Time for l”drop in soil test ................................................................................................................................................
Classincation of soil ..................................................................................................................................................................................................
12.
13.
Number of Families or Persons to Occupy Premises ............................................................................@@ a .......................................................
ODUI$
l4.
l5.
l6.
Installation Completed,Inspected and Approved in accordance with State Public Health Code and Local Ordinances
25 September 72 Melvin Edwards,Jr.19 By
Pollution Problem abated Date ..........................................................................................................................................................................................................................
Inspector
Minimum square feet of eEective seepage area required
Leaching System:Number of trenches ..........T hrte.e.....(..3.)u..s.,Length .,......:..’.l.8,8....f.t..................Width ..........Z7...Q,...f.t..
Total “"564.”.sq,:....4f.t....,.Other
Plot Plan Attached................................................................
Layout Approved.............X..a .............................................
This permit expires ..................................................................................................................
Signature
(Licensed Drain Layer)
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NOTES :Scale =#O'in ’l"approx .w #1 #2A273039B403546
SOUTH WINDSOR POLLUTION CONI‘ROLLOCATION‘8!Lake Street LotOWNERVerneHill
TYPE OF WORK Séptic Installation
DATE 09—25—72 PERMIT 72-80 PIPE’+”O-B.
INSTALLERDaVin (W9—205935)
INSPECTOR ME DRAWN BY DE
/v/F ML L/AM é HEDWI/VA 5L UZ/(A/ws
/26.66 rE$r HoLE:was”
1.
?”E "‘:w
PROPERTY OF
L 4K5 57 ¢ABBY ROAD so wwasm cow
BEING LOT/V0 /OIV MAP E/VT/TLED SUBD/V/S/OIV FLA/V OF PARAD/SE LAKES SECT/OIVI
LAKf STREET $ABBY ROAD,50.W//V050R,CON/V.SCALE /40 MARCH /2 L968
6R/3WOLD ENG.MIC.
scAL£.-/”=40'MAY/W972
KENNETH R.BOUD LS REV JUNE 9 /92
Fog Bump/Iva PURposEs ONLY
M ANCHESTER ,gvCON.N“‘
WW5,aroeo'bvmswam20to67calms:man/EL ,67m 96 col/R55 'sAmo WA 75/?ar59r£sr HaLE 5££pAa£rEsr200LmEFrOFrRENcH
2 5 WIDE__
H0LE35"p£Ep
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1250 galseptic Iank
gE;LOT 2
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y /62.02
L A KE STREE 7
TOWN OF SOUTH WINDSOR.
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date ........................
The Sanitary Sewer ........ Septic System ..........
at................................................
or lot # ............... has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
By Date