Torrington Area Health District

350 Main St. - Suite A
Torrington, Ct 06790

Permit To Discharge

For A Private Subsurface Sewage Disposal System

156 Sandy Beach Rd.
Lot # Street # Street Name
Goshen
Town
Subdivision
Arline & Frank Mc Carthy
Owner
203-387-8740
Telephone
12181
Permit number
Colby Excavation
Licensed Installer
05838
License Number
System Data
New Septic System Repair Septic System Dep System B100a Prelim
1250
Tank Size
680
Field Sq Ft.
12" Geomatrix 6212
Septic System Type
3
Gal/day Or # Of Bedrooms
Pump System
Manner Of Discharge
126 C/C
Volume Of Discharge
Restrictions Or Special Requirements

The Private Subsurface Sewage Disposal System Serving The Above Premises Was Constructed Essentially In Accordance With Plans Filed With The Torrington Area Health District And The Terms Of The Permit To Construct Issued For This System. Proper Operation And Maintenance Of This System Is Required Including Pumping Of The Tank Every Three To Five Years. This Permit To Discharge Shall Not Be Construed As Permission To Create Or Maintain Any Sewage Nuisance And In The Issuance Of This Permit To Discharge, The Torrington Area Health District Assumes No Responsibility For The Future Operation And Maintanance Of The System.

Conditions
Variances Granted
Yes No
If Yes, See Conditions
Gilbert Roberts
Inspected By
Chief Sanitarian
Title
10-11-2010
Date Of Final Ispection
2 Sep, 10
Issuance Date
2 Sep, 15
Expiration Date
Issued By:
Signature of Director Of Health Or Registered Sanitarian
(Director Of Health Or Registered Sanitarian)