HomeMy WebLinkAbout1975-10-22 - 1414 Main Street - Septic As Built@nmn ni §nmh minhanr
Department of Pollution Control
SOUTH WINDSOR,CONNECTICUT
DRAIN LAYER’S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
lo",Fee Paid $..............‘3 {.I .....By Usertorm~3nwrmwahif‘”ff Permit No.............................................................
Date ...........................................................................
Pursuant to written application,permission is hereby granted to the Licensed Drain Layer named herein
for repair .........or construction N»of an individual sewage disposal system concerning which the following
information is submitted:
Owner of Property mWHEEJL?1 Rafifgmiii {‘30 ..Address of Owner ’i’F“?nton D»w
3
D“I 1 iY‘Z ................................................................................................................................................................................................................
(Dwelling,Commercial Building,Store,etc.)Type of Structure ..........................................
10.
ll.
ii”12.Minimum square feet of eEective seepage area required Eat .....T ......~WWWHW‘O .....I:
13.Leaching System:Number of trenches ................................................Length ...................................................Width ...................................................
Total ................................................Other .........................................................................................................................................................................
14.Plot Plan Attached........EM“............................................
15.Layout Approved....................................................................
16.This permit expires ...................................................................................................................
tr 1.:IPercolationTests:Time for l”drop in soil test .........L amnl .....\hwes .......................................................................
Classihcation of soil ....................................................................................................................................................................................................v.{a w
Signature ..................................................................................................................................................................................
(Licensed Drain Layer)
Installation Completed,Inspected and Approved in accordance with State Public Health Code and Local Ordinances
....................................................................................................................................19 ..................By ...............................................................................................................................................
Pollution Problem abated Date ..............................................................................
Inspector
m
Liquid Capacity of Septic Tank ”ab’mg’w’iw”......Material of Septic Tank
Soil Conditions:Type of Soil .3x ...........................................................................................................................................................................................
(Sand,Gravel,Clay,etc.)
Maximum ground water table l‘l"wPmCCGK(A -.r‘magi......Cw“ar 5i i .......................................................................................................CEO”
If not served by public water supply:
Distance from Owner’s well$9wx3vniiihfivg 5?)fti‘ei {gee §3emiiii '1
H H i'SeG git a .h
Irf‘}Distance to nearest water drainage ditch,storm drain or embankment ;;-.’5?.\.2 L5?
Emma nf gmmh minhgm‘
Department of Pollution Control
SOUTH WINDSOR,CONNECTICUT
DRAIN LAYER’S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
/‘~Permit No.............................................................
Date
Fee Paid $.......1/......”i By
Pursuant to written application,permission is hereby granted to the Licensed Drain Layer named herein
for repair .........or construction .........of an individual sewage disposal system concerning which the followinginformationissubmitted:
1.Owner of Property a ...........c)............................................Address of Owner ./.........>..................
2.Location of Property 9..........>/......................................................................................................................Lot No ..............................
3 Type of Structure ........:.........,.»......i.‘..............‘..............................................................................................................................................................
(Dwelling,Commerc1al Building,Store etc)
Number of Families or Persons to Occupy Premises .....................K .......................................................................................................................................
Number of Bedrooms .................J .............................
ODCJI$
1\
10.
11.
l2.
l3.
14.
15.
16.
Layout Approved....................................................................
This permit expires ................................................................................................................
(Licensed Drain Layer)L7:‘
Installation Completed,Inspected and Approved in accordance with State Public Health Code and Local Ordinances
Pollution Problem abated Date .........................................................................................................................................................................................................................
Inspector
..........................................................................................................................19 ..................By ...............................................................................................................................................
Average Daily Flow ...................................................
Manufacturer andLiquidCapacityofSepticTank................f 7:“...................Material of Septic Tank (”/7/C
Soil Conditions:Type of Soil/J/.....................................................................................................................................................................................
(Sand,Gravel,Clay,etc.)
Maximum ground water table ...........................................................................................................................................................................
If not served by public water supply:IDistancefromOwner’s well ‘\;{f A 3).............
From adjacent wells 7 ‘3'J /it 9 7L7“?in
Distance to nearest water course,drainage ditch,storm drain or embankment .......................................................................................Percolation Tests:Time for l”drop in soil test ...............................................................................................................................................................................
Classihcation of soil ..................................................................................................................................................................................................
Minimum square feet of eHective seepage area requiredLeachingSystemNumberoftrenches3’.L ength v’Width .V.................................................................................Total ................................................Other ..............................................r
.........................//..............................Plot Plan Attached.’//
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