PAID $125 -
9-27-10
CK 8840

Torrington Area Health District

350 Main St. - Suite A

Torrington, Ct. 06790

Permit to Construct
A Subsurface Sewage Disposal System
Fee : $125.00
12181
Permit #
9-27-10
Date Issued
9-26-11
Expires
New Septic System
Repair Septic System
156
Street #
Sandy Beach Rd.
Street Name
Goshen
Town
 
Lot #     Subdivision
Arline & Frank Mc Carthy
Owner
203-387-8740
Telephone
Colby
Licensed Installer
005838
License #
860-601-1839
Installer Tel#
Ralph Stanton/ Bill Colby
Engineer
(860) 824-0343
Engineer Telephone
Specific Conditions:
Engineer Design
Curtain Drain
Percolation Test in Fill
Engineer Supervision
Engineer As Built Required
As-Built Installer
Field Staking by Engineer
As Below
Select Fill Required
(3) Perk Tests in Fill by Engineer Required Not Required
Variances Granted Yes No If Yes, see notes !
Notes
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).
A Permit To Construct:
3 Number of Bedrooms
1250 Gallon septic tank
680 Square feet of subsurface disposal system
68' Linear feet of subsurface disposal system
12" Geomatrix 6212 Septic system type
October 16, 2006 Plan design dated
William Colby Designed by
October 31, 2006 Health District approved date
Richard Rossi Approving Sanitarian
Installer signature
Sanitarian