HomeMy WebLinkAbout1972-12-5 - 1401 Main Street - Septic As Built@nmn nf $nuth minham‘
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 ................................................................................................................................................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:#1:;WOA‘eL/
Signature ..................................................................................................................................................................................
(Licensed Drain Layer)
InstallatibiafCfona®ipglefed Inspected and Approved in accordance wit e Public Health Code and Local Ordinances
...................................................................................................................................19.;...............B
Pollution Problem abated Date ..........................................................................................................................................................................................................................
Inspector
1.
2.
Owner of Property ...........--—-9 ......................................................Address Of Owner =—-—-—:——
Location of Property .............................................................................................................................................................................................Lot NO.
3 Type of Structure ...............................................................................................................................................................................................................................................................
(Dwelling,Commercial Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises ................................................................................................................................................................
5.Number of Bedrooms ................................................
6.Average Daily Flow ...................................................
Manufacturer and.
Liquid Capacity of Septic Tank .........................................................Material of Septic Tank
Soil Conditions:Type of Soil .............................................................................................................................................................................................................................
(Sand,Gravel,Clay,etc.)
9.
Maximum ground water table ..................................................................................................................................................................
If not served by public water supply:
Distance from Owner’s well .......................................................................
10.
From adjacent wells .............................................................................................
Distance to nearest §ater course,drainage ditch,storm drain or embankment
11.Percolation Tests:Time for l”drop in soil test ...............................................................................................................................................................................
ClassiRcation of soil ..................................................................................................................................................................................................
12.Minimum square feet of eEective seepage area required
13.Leaching System:Number of trenches ................................................Length ...................................................Width
Total ................................................Other .........................................................................................................................................................................
14.Plot Plan Attached................................................................
15.Layout Approved.....................................................................
16.This permit expires ..................................................................................................................
i
NOTES
Scale:1+O'in 1"approx.
A a:s T 2Q77B68'78
SOUTH WINDSOR POLLUTION CONTROL
LOCATION ‘WO’!Main Street
OWNER eATYPEOFWORKSgptic Re lacement
DATE 12—11—72 PERMIT 72-103 PIPE Lw 0.3.INSTALLER Adam (W9:206559)
INSPECTOR PE DRAWN BY PE
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 Date
Date ........................
The Sanitary Sewer ........Septic System ..........
at ................................................
or lot #...............has been installed and completed