HomeMy WebLinkAbout1978-9-15 - 11 Marilyn Road - Septic As Built@nmn nf Swath miuham‘
Department of Pollution Control
SOUTH WINDSOR,CONNECTICUT
DRAIN LAYER’S PERMIT
{L l Appllcatlon for Permit to Install o Repalr‘Indlwdual Sewage Dlsposal System
Fee Pald $V...[..wé ........................%...—.By .................................................................................................................................................Permlt No 7 (l
Date
Pursuant to written application,pennission is hereby granted to the Licensed Drain Layer named herein
for repair or construction .........of an individual sewage disposal system conceming which the following
information is submitted
Owner of Property f (7%,/kfr/A lit/H Address of Owner f////l7/l //U/‘/(2/
Locatlon of Property ................It ......................(Hm.....................................................................................................................
1.
2.
3
(Dwelling,Cgrprnwermal Building,Store,etc.)
Number of Famihes or Persons to Occupy Premises ....................YLI...............................................................................................................................
Number of Bedrooms .......:SL ..................................
Average Daily Flow ...................................................
Manufacturer and
Liquid Capacity of Septic Tank .........................................................Material of Septic Tank1\
From adjacent wells .............................................................................................
10.Distance to nearest water course,drainage ditch,storm drain or embankment .......................................................................................
ll.Percolation Tests:Time for 1"drop in soil test ...............................................................................................................................................................................
Classihcation of soil ....................................................................................................................................................................................................
12.Minimum square feet of eEective seepage area required ...................................................................................................................................................l3.Leaching System:Number of trenches ................................................Length ...................................................Width
Total ................................................Other .........................................................................................................................................................................
14.Plot Plan Attached................................................................
l5.Layout Approved....................................................................
16.This permit expires ..................................................................................................................fWW MW
Signatur &(\k\‘-t£i k <T it
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Instaflation
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Completedbw ii?""
Inspected
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and Approved in accordance with State Public Health Code and Local Ordinances
(Licensed Dram Layer)
{in}4"Vtji c7?me “franc,Lt (Lou/El ii d ‘HL:
Inspector
Pollution Problem abated Date
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8.Soil Conditions:Type of Soil
(Sand,Gravel,Clay,etc.)
9.
Maximum ground water tableIfnotservedbypublicwatersupply
Distance from Owner’s well “wry ......b»éWA‘”
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION I I Maw hm Poi
OWNER Ear g 1;;“(1 €P L4 Hit H
TYPE OF WORK 511W (c,{Pa/ml“DATE Q»Ifv'lé”PERMIT 7§~3c7 PIPEINSTALLERINSPECTORDRAWNBY