Torrington Area Health District
350 Main St. - Suite A
Torrington, Ct. 06790
Permit to Construct
A Subsurface Sewage Disposal System
Fee : $125.00
New Septic System
☒ Repair Septic System
Dep System
581
Street #
Sharon Turnpike
Street Name
Goshen
Town
Lot #
Subdivision
Jane/ Richard Skargensky
Owner
860-491-3376
Telephone
Bill Colby
Licensed Installer
005838
License #
860-601-1839
Installer Tel#
541 Sharon Tpk
Installer street
Goshen
Installer mail town
06756
zip
Colby Engineering And
Engineer
860-601-1839
Engineer Telephone
Specific Conditions:
☒ Engineer Design
☒ Percolation Test in Fill
☒ Engineer As Built Required
☒ Field Staking by Engineer
☒ Select Fill Required
Curtain Drain
Engineer Supervision
As-Built Installer
As Below
☒ In Place Sieve test Required
(3) Perk Tests in Fill by Engineer
Required
Not Required
Variances Granted
Yes
No
If Yes, see notes !
Notes
A Permit To Construct:
| 2 | Number of Bedrooms |
| 1000 | Gallon septic tank |
| 520 | Square feet of subsurface disposal system |
| 52' | Linear feet of subsurface disposal system |
| 12" Geomatrix 6212 | Septic system type |
| September 20, 2011 | Plan design dated |
| William Colby | Designed by |
| September 29, 2011 | Health District approved date |
| Richard Rossi | Approving Sanitarian |
Installer signature
Sanitarian
