HomeMy WebLinkAbout1977-8-23 - 214 Newberry Road - Septic Application and Plan@nwn nf $nuth minhanr
Department of Pollution Control
SOUTH WINDSOR,CONNECTICUT
DRAIN LAYER’S PERMIT
Application for Permit to Install or Repair ndividual Sewage Disposal System
Pursuant to wntten application perm1s51on 1s hereby granted to the Llcensed Dram Layer named hereinforrepalrj<or constructlon .........of an 1nd1v1dua1 sewage dlsposal systenrn concewg whlch the followmg
mformatmn 1s submltted
16 This permit expires ...................................................................................................................
Signature .......................................y Pg”OW ...................................................................................................................
/i /3'”Q;i’‘(Licensed Dram Layer)r //
Installation Completed,Inspected and Approved in accordance with State Public Health Code and Local Ordinances
Pollution Problem abated Date ..........i D/3'77 .....
Property .............of OwnerLocatlonofPropelty...........r2/gA/wé'e/W .....g ............................................................................................Lot NoTypeofStructure.............................b My!........../jf ........................................................................................................................................................................
(Dwellmg,Commerc1al Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises ..............................................................................................................................................................5.Number of Bedrooms ................................................
6.Average Daily Flow ...................................................
7.a pfacturer andLiquidCapaCityofSepticTank.........................................................M erlal of Septic Tank8.SOil Condltions Type of SOil ........................................................................QWQ’
Maximum ground water table ......................1 "
”.3
(Sand
.‘
Gravel
(at /{/é etca .............................................................................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 embankmentll.Percolation Tests:Time for l”drop in soil test ..............................................................................................................................................................................
Classihcation of soil .................................................................................................................................................................................................12.Minimum square feet of eEective seepage area requiredl3.Leaching System:Number of trenches Liftii .....Length .................................................WidthTotal................................................Otherl4.Plot Plan Attached ..............................................................
15 Layout Approved ..........................................................‘.........
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