Torrington Area Health District

350 Main St. - Suite A
Torrington, Ct 06790
T A H D Is A Equal Opportunity Provider

Design Review For
Subsurface Sewage Disposal System

Permit #
12181
  Lot #
156 Street #
Sandy Beach Rd. Street Name
Goshen Town
  Subdivision
Arline & Frank Mc Carthy Owner
10 Cornfield Lane Owner Address
Woodbridge Town
Ct. State
06525 Zip
  Builder
  Builder Address
Ralph Stanton/ Bill Colby Engineer
92 Canaan Valley Rd. Engineer Address
Canaan Town
Ct. State
06018 Zip

This Approval Indicates That The Proposal Has Been Reviewed By The Health District And Is In Compliance With Applicable Regulations As Contained In The Public Health Code For This Project.

Plan Date: October 16, 2006
Plan prepared by William Colby
Plan Approval Date: October 31, 2006
# Of Bedrooms: 3
12" Geomatrix 6212
Septic System Type
1250
Tank Size
680
Field Sq Ft.
68'
Legnth Of Septic System
Approved
Plan Revision Required
☒ Required ☐ Not Required
(2) Perk Tests In Fill By Engineer

This Is Not A Permit To Construct A Subsurface Sewage Disposal System. The Permit To Construct Will Be Issued To The Licensed Septic System Installer Prior To Actual Construction. This Plan Approval Is Subject To Specific And General Conditions As Shown On Both Sides Of This Form. Please Read Them Carefully.

X Engineer Design
X Field Staking By Engineer
X Engineer Supervision
  Percolation Test In Fill
X Select Fill Required
  As-built Installer
X Engineer As Built Required
X Curtain Drain
  As Below
This Approved Septic Design Is To Be Held By Tahd Until 3-bedroom House Plans Have Been Rec'd And Approved. ( R O R 10/31/06).