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Home My WebLink AboutDrain Layers Permit 118 Berle Road �lax�rt l�f �� t�b��.rx� . `• :� Department of Pollution Control y , SOUTH WINDSOR, CONNECTICU'T DRAIN LAYER'S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System Fee Paid $...........20.00...... By Omer....to...Building....D.epeetaent°°r....0.6.-a..!-?R......... Permit No. °72"74......................................... Date ...............28...Augurt.,.....1°972..... Pursuant to written application, permission is hereby granted to the Licensed. Drain Layer named herein for repair ......... or construction XX... of an individual sewage disposal system concerning which the following .. ^. .information is submitted: tv 1. Owner of Property ...........Carlo...Prestileo..............°.. Address of Owner .................................:.......................................................... .. 2. Location of Property ......Ile.....Berle...mad................................................. ......... ....................I.............................. Lot No. ...........23............ . 3. Type of Structure ...............1?1a Dwe.11ing.................................................................................................................................................................................................................... (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons to Occupy Premises ..........One....(1..)....faalilY........................................................°...............................,.......... 5. Number of Bedrooms Four•....((.)................. 6. Average Daily Flow ................................... Manufacturer and 7. Liquid Capacity of Septic Tank ..1 ,95..0.......;gallflna........ Material of Septic Tank .....A N :7 pAng e°te #.U.�NVU; 8. Soil Conditions: Type of Soil (Sand, Gravel, Clay, etc.) Maximum ground water table . ....,........ 9. If not served by public water supply: ; Distance from Owner's well ..7..5...f: e..............Sae....Well...Drilling Permit #12601 attached. ; Fromadjacent wells ........................................°.................................................... 10. Distance to nearest water course, drainage ditch, storm drain or embankment ...........................................:................:..................... 11. Percolation Tests: Time for 1" drop in soil test . TV. tY-four„•(24) •m3;nutea.............................. Classification of soil .................................................. , 12. Minimum square feet of effective seepage area required 2?..7 bedroom., toted.....of..:..1.1.08.14%.4, l'4' 13. Leaching System: Number of--trenches .... 5e.Y.ea....(°7..)...... Length ..........3.8.2....f-t.................. Width ..3.a0....f°t e Tota11..,1.46....eq...... Other ................................................................................................ .... ............................ ......... ,v 14. Plot Plan Attached. ......Yee.............................................. 15. Layout Approved. 16. This pdrmit expires g� y Si afore ............ ............ ........Pi... ... ..... .... .. Riaha P, P eened Drain Layer)W9-20063 L 5 Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances ....................................01. Septembex......... 19... 7.2 By .... .....Melvix . Edwards.......Jr. s Pollution Problem abated Date .............................................................................. ............................... :"ector r. WELLCOMPLETIONREPORT. STATE of CONNECTICUT WDB-S 12-69 REV.vat WELL DRILLING BOARD Do NOT fill in €; State Office Building STATE WELL NO. HARTFORD,CONNECTICUT 06115 OTHER NO. .25 NAME ADDRESS OWNER tz ' LOCATION (No:✓3<Street) (Town) - (Lot Number) BULLS OF WELL AOAD "TIi 4IND30jR 23 L BUSINESS t PROPOSED DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF WELL PUBLIC AIR ❑ SUPPLY ❑ INDUSTRIAL_ ❑ CONDITIONING ❑ ((Spec fy) DRILLING CABLE EQUIPMENT 534 ROTARY ❑ APRESSED RM PERCUSSION ❑ PERCUSSION ❑ ((Spec fy) CASING LENGTH (feet) DIAMETER(inches) WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? DETAILS 44I I 1 .45 I .� THREADED ❑ WELDED I �YES ❑NO ❑YES Ej NO YIELD HOURS YIELD(G.P.M.) TEST ❑ BAILED ❑ PUMPED W COMPRESSED AIR I # { MEASURE FROM LAND SURFACE—STATIC(Specify feet)I DURING YIELD TEST(feet) I Depth of Completed Well 7 WATER LEVEL20 " in feet below Land surface: 125 MAKE LENGTH OPEN TO AQUIFER(feet) SCREEN DETAILS SLOT SIZE I DIAMETER(inches) I IF GRAVEL Diameter of well including( I GRAVEL SIZE(inches) FROM(feet) ITO(feet) PACKED: gravel pack(inches): DEPTH FROM LAND SURFACE FEET to FEET FORMATION DESCRIPTION Sketch exact location of well with distances,to at least r two permanent landmarks. �- E. 20 Jand & Gravel 125 Reddish Rock 30 x F., 45 _ If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE d; F DATE WELL COMPLETED (PERMIT NO. I REGISTRATION NO. LDATE OF REPORT (WELL RMLEf(SCgna#jre) t a� r: DIRECTOR OF HEALTH WELL DRILLING BOAR STATE 6F G6NNCTICUT _ PERMIT NUMBER WDB-4 11 e, 1 WE LL DRILLING PERMIT12601 STATE,OFFICE BUILDING,HARTFORD;CONNECTICUT 06115 LOCATION OF WELL(sown) (St ) (Lot Number) DATE IL OWNER OF WELL INDIVIDUAL BUILDER E OTHER(Specify) OWNER'S ADDRESS r 1Mt BUSINESS TEST Est.No.of j PROPOSED DOMESTIC USE OF ESTABLISHMENT FARM WELL People being served. PUBLIC AIR WELL ❑ SUPPLY _INDUSTRIAL "CONDITIONING ❑ (Specify) SKETCH OF WELL LOCATION Locate well with respect to at least two roads,showing distance from intersection and front of lot Location of lot to at least two roads Well location on lot and to house(if present) Indicate North t 117 POO X 49 Tom. ' Approximate number of feet from well to nearest source of possible contamination: , The undersigned is aware that upon completion of the well,a"Well Completion Report'.'containing construction details and.information required under Section 25-131 of the 1969 Supplement to the General ttifes.must be sent to the owner,the.Board and the Water Resources Commission on the form provided by the Board.This . permit is not valid-until all informations ed in and it has been counter-signed by the Director of Health or his agent. APP NT ignatu" APPLICANT'S ADDRESS REGISTRATION NO. BY(To .ABent) i DATE ❑APPROVED REJECTED REMARKS DIRECTOR OF HEALTH r 4D I , I I H� Hi H' tii ti; 3A I i� I 7=0 NOTES Not drawn to scale. SOUTH WINDSOR POLLUTION CONTROL S T //1 #2 LOCATION Berle Road (Lot 2 ) A 47 57 35 OWNER Carlo Prestileo B 28 32 47 TYPE OF WORK Se tic Installation DATE 0 -01-72 PERMIT 72-74 PIPE4" O.B. INSTALLER Pippin Wg-20 3 3 INSPECTOR ME DRAWN BY ME F -7 A-74 TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. 06074 t DEPARTMENT POLLUTION CONTROL Date P1, September,, 1 .72. . . The Sanitary Sewer . . . . . .( Septic System . . . . . ..XX. x?s. . . . . . . . . . . . . . . . . . or lot #. . . . .; . . . . . . . .. has been installed and completed in accordance with the,Town of South Windsor ordinances and regulations., ,:)Ycept for cast -.ron; ;i,)t -i.istal?ed, Accepted and Approved t J _B' Ldwaru9, Date 01 September, 1912