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HomeMy WebLinkAboutDrain Layers Permit 130 Berle Road .d it, Ni C1,�yi ,t 3'�f Department of Pollution Control SOUTH WINDSOR, CONNECTICUT 7 �� x DRAIN LAYER'S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System Fee Paid $....2 ,.0.0.............. By ..Bu..ld.r...t.Q....131.I 1d 1.g...Department................................... Permit No. .........7..1 4$........ Date ................U...Ament., 1. 7..9 ... ".< Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named hereux for repair ......... or construction 1... of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Property ....Carlo....P..r..estil.era........................................ Address of Owner 6.9...Ash...Road .....Sawtki...WindAar � '< 2. Location of Property ....I.R....Berle....Road......Oak...Grove...Aares....................................................................... Lot No. _2. .............. ' � t 3. Type of Structure .............................Dwelling......................................................................................................................................................... ......... (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons to Occupy Premises ..........O.ta.e (1)....fml.].yt.................. ........ ............................. 5. Number of Bedrooms ..Foox....C4.)................. t; l 6. Average Daily Flow ............................................... . Manufacturer and 7. Liquid Capacity of Septic Tank .1?5.Q.......g&llons............ Material of Septic Tank ....Ar. ....(conc. e..e.).. 8. Soil Conditions: Type of Soil ...........fit b.rAi.. ........................................:.......:...........................................................................,....:............ r; (Sand, Gravel, Clay, etc.) Maximumground water table ................................................................................................................ ......... ........: ....... 9. If not served by public water supply: r. Distance from Owner's well S:eventy-,.five.....(.7.5.)....feet - see well permit 5876 attached, - 4t From adjacent wells Sees•euty.fXive....(.7.5.)....f:eet....+... 10. Distance to nearest water course, drainage ditch, storm drain or embankment ..................................................:.........::. 11. Percolation Tests: Time for 1" drop in soil test ...Twen.ty.nr sa.>r....(26)...minutes.....................:......................................... Classificationof soil .............................................................................................................................:.......................... k, 12. Minimum square feet of effective seepage area required 283...ash....ft....per...hedr.0.004...•.tAtal....Qf 11.. ?.... tl... ,t• ;'; 13. Leaching System: Number of trenches ..Five:..:(5)................. Length 38.5....feet...................... Width 34 X..O.e.t ....::,..... . Total .11.55..,8q...f t........ . Other ............................................................................................................................. 14. Plot Plan Attached. ..............Too...........................I.......... 15. Layout Approved. 16. This permit expires .....2.3 Qato..b.er......1.9.7..'1...................... ......................... y d Signature .........................Gerard...T.,,....Bt.Santa,n....(.k19-,?A369. -68)......:.... � (Licensed Drain Layer) r ' Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances r k ...0.7.....September,.. 197..1........................ 19.................. By .........Melvin...Edwarda....dr............................ ................. , Pollution Problem abated Date .............................................................................. Inspector a i' W@LL CRILUN040A �eTE> � r �^��� ST ` ;r n OF'CONNECTIC T z sn "'do vKt�e-4 . a 1-441 s WELL.1?RILIIN� F �f t STATE OPME BUILDING,HARTFORD,CONNECTICUT 064.15" �tr 'k LOCATION OF ELL(fown) (Street) (Lot Number) DATE a 1 F iI�XAO]E . Ron OWNER OF WE4L INDIVIDUAL (N.BUILDER OTHER(Specify) �� : OWNER'S ADDRESS r PRCiP05ED l� BUSINESS.. - TEST - Est,No o ' 1� ❑.ESTABLISHMENT Q':FARM yyE People being DOMESTIC: Q. Lt USE OF served WELL PUBLIC AIR, OTHER El SUPPLY � IhIDUSTRIAL. CONDITIONING (Specify)_: '• SKETCH OF WELL LOCATION J Locate.well'with respect to at least two roads,showing distance:from in and front of lot t Locatib ;af lot to-at least•two roads . t Well.lbcation, lot and;Yo,hous if present) a�L, N Indicate North �y x ztz 4 z 4 w C-) \� ,: x . VV $ ' Approximate humber of feet from well to _ F h i nearest source of possible contamination: * ; a The undersigned.is aware-Aat upon completion':of=the well;a"Well'Completion Report"containing construction"details and4nformation-required under Sectiotr Pubhc,Ac#jb A:.must be.seot to the oiVner,the Board and the:Wdter Resources Commission on the#orm provided:by the Baard:This permit.is not valid until all-infortn € Lion is fill d in and it has been counter-signed.by the Director of Health or his agent: tgna re)_/ APPLICANT'S ADDRESS y /y REGISTRATION NQ R: W�/fi t} VfTi/1�M• i ' BY aIt Officer or Agent) L_J APPROVED E1 REJECTED _ REMARKS } y.. 17 -. --. - - DIRECTOR OF HEALTH NIF {�EL,EtJ SULLIVArlJ w � _1_c_->T. Zt - Lo-r z-z ,W 3 C> 3 0 � o, (9\ 01 �L - T d- -- — -50 . LAi . 1 ®, Coll Aga•. i. { oAZ) 10 PROPERTY OF NO. BERLE ROAD SOUTH WINDSOR, CONN. Being Lot No. 22 on map entitled, "Oak Grove Acres - Section No. 1 - Owner & Developer - Carlo Frestileo — Berle Road & Christine Lane - South Windsor, Conn. , By S.A.F. - P.A.S. - Scale: 1" = 40, - Date Apra 20, 1971 Sheet No. 1 of 6" . SCALE: 1" 40 t Date GRISWOLD & FUSS, INC. MANCHESTER, CONN. FOR BUILDING Povosts 00 MUISMID MIME Unsin(- 17S rF 1 ` ` I \ I � % i ID �2 0 p k? R NOTES : Not drawn to scale SOUTH WINDSOR POLLUTION CONTROL A B LOCATION Berle Road (Lot 22) S/T 31 11 OWNER Carlo Prestileo #1 37 18.5 TYPE OF WORK Se tic Installation #2 46.5 17.5 DATE09 07/71 PERMIT 71-48 PIPE 4 H o INSTALLER Boutin (W9--336968) INSPECTOR ME DRAWN BY ME TOWN OF SOUTH WINDSOR TOWN. HALL SOUTH WINDSOR, CONN. 06074 DEPARTMENT POLLUTION CONTROL Date ,.,J. . . . . . . The Sanitary Sewer . . . Septic System +^.`.. . .. . . . . . . . . . at inc or lot #. . . . . . . . . . . . . has been installed and completed in accordance with the.Town of-South Windsor ordinances and regulations., o Accepted and Approved 4. /�-6 -fir, 6o `:l't`be—gr Date