HomeMy WebLinkAbout1975-7-29 - 11 Mountain View Road - Septic Application and As Built@nmn nf $nuth 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 $20.00 .....By ...............................................................................................................................................Permit No...QZ?..9.7.5 .....................................
Date aajnlxs .....1 .925..............................
Pursuant to written application,permission is hereby granted to the Licensed Drain Layer named herein
for repair or construction X of an individual sewage disposal system conceming which the following
information is submitted:
Owner of Property SCHWEIRa LeORR'........................................Address of Owner “MountalnVleVVRoad ..................
Location of Property .......§§.§........................................................................................................................................................................Lot No...............................
Type of Structure ................§WIM1ngpOOlCabana .......................................................................................................................................................................
(Dwelling,Commercial Building,Store,etc.)
Number of Families or Persons to Occupy Premises ...........non‘reSJ-dence ......................................................................................................
Number of Bedrooms ................................................
Average Daily Flow ...................................................@Ulky
Manufacturer and
7.Liquid Capacity of Septic Tank 1..,r.’1.00‘..gallons ...........Material of Septic Tank .on.r.te .............................
8.Soil Conditions:Type of Soil COarsesand .................................................................................................................................................................................
(Sand,Gravel,Clay,etc.)
Maximum ground water table .......N.n..bse..d ..............................................................................................
9.If not served by public water supply:
Distance from Owner’s well ........................................................................
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 ..der.l.e(5......m,imt§§§.......................................................................................
ClassiScation of soil ................................................................................................................................................................................................
l2.Minimum square feet of eEective seepage area required ...................................................................................................................................................
l3.Leaching System:Number of trenches ................................................Length ...................................................Width ...................................................
Total ................................................Other “Qnew.(tt):..125%.gallon....preeas.t....drxwell..........................................
14.Plot Plan Attached........E9 .................................................
15.Layout Approved..............X9§............................................
l6.This permit expires ....M29...§ie.p.temb..e.r4..“1975.“,4 ................................
Sig Adam Wisniewski (Licensed Drain Layer)w9‘206559
Installation Completed,Inspected and Approved in accordance with State Public Health Code and Local Ordinances
................................................................................2.9...Jaly...........................19 ........7.5...By
Pollution Problem abated Date .........................................................................................................................................................................................................................
Inspector
ém le,Ssh agcszg”
7V /y’”til/‘3???J?3?”u}[gm mi
S @P 7g};g;g”;figt”’
7/z9/7s’w N3kww
a.z,5m=>sar,xm“r9 '.gvrgeg-téu'r
>£5 Qua”macaw;{yMNAgg "‘g~?«~f
nag GALhae-A
Ww’x’v’w‘of750’GALmN’i;W %n ‘A xl’
#ggt‘a‘r D/w 3 Qq.
'\UI“w<1fnr$F ri kr\
§”O.,a”,“Wu:
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date ... 2-9. Y(.� .. /. 17........ .
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