HomeMy WebLinkAbout1972-8-2 - 1 Lipman Drive - Septic ApplicationEfnnm nf $111111;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 $.................................By ......................................................................................................”'ét‘f":.............Permit No.......I ...................................................
Date .......1...........................................n 3 >
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:
Owner of Property ..................................................................................................Address of Owner IZ’I‘DM9NDQIV6 ......................................
Location of Property ....................................................................................................................Lot No...............................
Type of Structure ...............................................................................................................................................................................................................................................................
(Dwelling,Commercial Building,Store,etc.)
Number of Families or Persons to Occupy Premises ................................................................................................................................................................
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 .............................................................................................................................................................................
l.
2.
3
O3Ul§h
1K
If not served
Distance
by
frompublic Owner’s
water supply:
well ........................................................................aeaMNEEFromadjacentwells.............................................................................................
10.Distance to nearest water course,drainage ditch,storm drain or embankment .......................................................................................
ll.Percolation Tests:Time for l"drop in soil test ...............................................................................................................................................................................
Classihcation of soil ....................................................................................................................................................................................................
Minimum square feet of eEective seepage area required ...................................................................................................................................................
Iieaching System:Number of trenches .,.,.,..,.Tmo....(.2)..............Length ...........7..2....f.c.“................Width ...................................................
Total522,.,.s,q,.....£t,....,..,.....Other .........................................................................................................................................................................
14.Plot Plan Attached................................................................
15.Layout Approved.............Yes .............................................
16.This permit expires ..................................................................................................................
12.
l3.
Signature ..................................................................................................................................................................................
(Licensed Drain Layer).
Installation Completed,Inspected and Approved in accordance with State Public Health Code and Local Ordinances
72 Melvin Edwards.Jr.O9 August 19 By
Pollution Problem abated Date .........................................................................................................................................................................................................................
Inspector
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NOTES:Scale =40'in 1"approx.w.D/B
A 2O 29B59#0
SOUTH WINDSOR POLLUTION CONEROL
LOCATION Ellington Road (Lot 29)
OWNER Jerry Lipman
TYPE OF WORK Se t'I l .
DATE o8—og—72 PERMIT 72—65 PIPELw 0.13.INSTALLER Williams (w9-2o6551)INSPECTOR ME DRAWN BY ME
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