HomeMy WebLinkAboutDrain Layers Permit 71 Berle Road (2) .... �_ L - +gar: • _. w _ v+ rya;tt'3F q
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Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
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'y DRAIN LAYER'S PERMIT 'y
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{ Application for Permit to Install or Repair Individual Sewage Disposal System
20.00 Contractor to Building De •t. 10 1 1
Fee Paid $.................................... By ..... . . . . ......................................................g...........1?....................1... 17............ Permit No .........72-14..................................
,
Date ................2.7.. March.a....1.97Z...,..
Pursuant to written application, permission is hereby granted to the Licensed.Drain Layer named herein =
XXX ' �•
for repair ......... or construction ......... of an individual sewage disposal `system concerning which the following
information is submitted: r
' 1. Owner of Property ..............Geo...g Prop a .. r e...R,....Mel,.7,es.......................... Address of Owner ......................................: .
2. Location of Property ...71.....Berle...R944..................................................................... Lot No. ..... 15...:,........ H
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3. Type of Structure .................Dwell info.................................................. r V.
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ....................PAP,,,•,(1•.),,..family!,,,••.................................................................................... r'
5. Number of Bedrooms...Fraur..... 4)................
6. Average. Daily Flow ...................................................
Manufacturer and . ~'
7. Liquid Capacity of Septic Tank ..1 ,25.0....gali.tzns....1.. Material of Septic Tank Ar -aw....-....co ar.e.:f e........................... ... .
8. Soil Conditions: Type of Soil ................................................................................................................................................................................................
(Sand, Gravel, Clay, etc.)
Maximumground water table .............•.............................................................._.............:......................................
9. If not served by public water supply: =t
"
'. Distance.from Owner's well 7.5....i'.eet.......(B.et...Well-Drilling Permit #8414, attached.)
r. From adjacent wells :...............................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment ............................................................... ..... .... ... i
11. Percolation Tests: Time for 1" drop in soil test ..........Tw.enter...•(.20)....mayu.teB.........................•.....................................
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Classification of soil ..............................................................................................................................•..............................................................•.
12. Minimum square feet of effective seepage area re aired ?.6.5 eq....ft,...pe.z...:.bedroomn,
13. Leaching System: Number of trenches ..........F D! 5..)......... Length ............3.55...f t.R............... Vi)i .......... feet a
Total ..1..e.Q65....s........f t Other
......................................................
14. Plot, Plan Attached. .........Y.en...........................................
15. Layout Approved .............Yes................
16. This permit expires '..........2?.....i!lair.,.....1.9.7..?...............•............................................ �
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Signature ...........Robert L. Davin W9-7205935) ..;..:..:
(Licensed Drain Layer)
i•:
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local.Ordinartces•
4 Aril 2 ByMelvin Edwards Jr. F
Pollution Problem abated Date ....... . ............ ..... >Inspegtor
f94,
3V4E��f4�{�apq ,'°0 n�T`Y'
' WELL DRILUNO OVAIM K'
`'y `51'i'Al�d�CONIV�CI'ICUT
t 11YD6-4 11-69
WELL QRfL1fNG"PERMfT`'
STATE OFFICE BUILDING,HARTFORM CONNECTICUT 06775.
LOCATION OF., oivn) ,:, (Stm }). (Lot Number+) DATE
BMW #�.+''�iF XN" AD" iyi1Y
OWNER OF WELL r
*`INDIVIDUAL . BUILDER OTHER(Specify) �F�AIF r
OWNERS ADD LESS
60
PROPO2 t IC BUSINESS TEST
ESTABLISHMENT FARM ople l; hig �F�.
EJ
USE ar .
WELL
served '
F1jB
AIR
UPPNLR INDUSTRIAL El
CONDITIONING ( peEfy). l r .
SKETCH OF WELL LOCATION
# ' t
.Ldtate�well.with respe[ci to af,least-two roads,ahowigg.disjance from intersQetion an4:*ont of-lot • `�
Location of.lot to a#least two roads "' "
Well location on.lot and.to house,(if present)' �"" tip -
s '
r
IndkK
io
I 40M� -
Ft
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t
4
7 . - 1.
01
R/-: Q#9 of Ax
Approximate number of feet from well to =
dearest source of possible contamination:.
;7he unders*ed is oWare-thtit upon.completion of,the well o-"Well Completion Report'?containing•construction;^detailskcmcl information-required-under•.SeeRBn i>to6 c
Public Act V.S�must be senf.to the owner,the Board and the Water Resou ces Commission on the form provided.:by the•Board:This'permit:-is not•valid-.until.,-al4-lhfbrmai 3 {
r tion is filled�r+and it has beerR countersigned by-the-Director of Health or his agent:
APP NT. 'gnatur APPLI NT' ' DR REGISTRATIO O '
o-RF� .K, I(tOffifer or a tJ DATE
Tj-
APPROVED, ❑ REJECTED
REMARKS .
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DIRECTOR OF HEALTH t
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Wye SrtA �Via.
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NOTES : Scale = 40, in 1" approx. SOUTH WINDSOR POLLUTION CONTROL
S T D B LOCATION 71 Berle Road (Lot 15)
A 51.5 43-5 OWNER George R. Mellen
B 32.5 43.0 TYPE OF WORK Septic Installation
DATE o4-14-7p PERMIT = PIPE 41, O.B.
INSTALLER Davin W9-205935
INSPECTOR ME DRAWN BY ME
TOWN OF SOZTTH WI
TOV�N HALL 1VDSOR
SOUTH MDSORI CONN. 06o74
DEPARTMENT POLLUTION CONTROL
Date 14
•A�.�ri:t_
The Sanitary Sewer
Septic System
at ?.1, Ee�.Le TOCc ),
Or lot ./� r,
in acco has `been installed and c ompleted
rdance with the Town of.
and regulations. South Windsor Ordinances
Accepted and Approved
B
Yr .Jr.
--_. Date 14 Air'