HomeMy WebLinkAboutDrain Layers Permit 150 Berle Road (2) zs
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c0ount of O aut4 MOsor
Department of Pollution Control_
SOUTH WINDSOR,.CONNECTICUT
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DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
20:00 Owner .to Building D t. 05-08-72. ....... ........ Permit No. .....:...{:.........7.�-:�+
Fee Paid $.................................... By ........ . . .......................................... ............................
Date .................3..1....M, Y...a..,.19.72............
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:
' 1. Owner of Property ............Carlo..Prestilea 6 Aeh Road, South Windsor
Address of Owner ............�....... ...........d.
2. Location of Property .......156.....Bcrle .Road ... ..... ...................................................................... Lot No. ..............................
' 3. Type of Structure ...............Pavel..ling......................................................................................................................................................................
....................................1. .. .
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ...........On*....(..1)....fAmil. ....................................................
..............................................
5. Number of Bedrooms ...Four....(4)................. .
6. Average Daily Flow ...................................................
Manufacturer and fi
r . 7. Liquid Capacity of Septic Tank A..,.MQ....?+.,ota,e........ Material of Septic Tank ......Ar ot1!....'..'.T+ nBoy...r - cam.r.q.te. `t
8. Soil Conditions: Type of Soil ............................................. r,
...... ....... ......
(Sand, Gravel, Clay, etc.)
Maximum ground water table ................................
....................................:..............................................................................................
a
9. If not served by public water supply:
Distance from Owner's well ...75...feet
.....................................
From adjacent wells ....... ........ . . .......
10. Distance to nearest water course, drainage ditch, storm dram or embankment ...25.....feat .........................................
11. Percolation Tests: Time for 1" drop in soil test . TM (10) roinutes............................................................................................................
Classification of soil ,
.............................................
12. Minimum square feet of effective seepage area required 1.90.. aq.. ..:E:.....per...bed.rooma......total...of 7.6.0 aq,* f t,.
13. Leaching System: Number of trenches .... S X ............. Length ..........265...ft,................ Width 2.5. zxg f..t .............
Total .....7.95...s9•....f t .... Other ................................................................................................................................................. ......... .
14. Plot' Plan Attached. .......Yen............................................. > • -;.
15. Layout Approved. ............Yee.............................................
16. This permit expires ..........3.1....,8.ep:twnber,,.....1..97.?........................................
Signature ..................................................................
.........
Richard P. Pippin, 4rdeensed Drain Layer) W4-•206363)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
..................................................................... a vin Edward$ Jr.
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Pollution Problem abated Date "
.............................................. ......:: .....: .........
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,Inspector F z• }5 y'
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;WELL.ARILLING BOARS STATE OF CONNECTICUT - PERMIT NUMBER'
wDe-a WELL DRILLING,PERMIT
STATE OFFICE BUILDING,HARTFORD,CONNECTICUT 06115 ��� 4'
LOCATICIff OF WELL own} ,., " - preef) (Lot Number) Dj-
OWNER OP WVLL
WNDIVIDUAL ❑ BUILDER ❑ OTHER(Specify)
OWNER'S ADDRESS
PROPOSED ' BUSINESS TEST Est.No.of
DOMESTIC ❑ ESTABLISHMENT . ❑ FARM ❑ WELL People being
USE OF served.
WELL ❑ PUBLIC AIR OTHER
SUPPLY INDUSTRIAL ❑ CONDITIONING ❑ (Specify)
SKETCH;OF WELL LOCATION -
Locate well with respect to at least two rod ,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 '
lk
ti
" Approximate number of feet from well to - -
nearest s�yrctrof possible contamination: B3
The undersigned is aware'that.upon completion of the Well,a"Weil Completion Report"containing construction details and information required under.Section 25-131
of the 1969 Supplement to the General Statutes.must be sent to the-owner,the Board and the Water Resources Commission on the form provided by the Board.This
p it is not id until I information is filled in and it has-been a un '^ ned by fihe Director of Health or his agent. -
:.
REGI N NO.
BY(Town Heolth.Officer or Agent) DATE
APPROVED REJECTED
REMARKS
DIRECTOR OF HEALTH
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NOTES Scale = 40, in 1'' approx. SOUTH WINDSOR POLLUTION CONTROL
SIT #1 #2 LOCATION Berle Road Lot 21
A 20 7 72 OWNERCarlo Prestileo
B 38 30 47 TYPE OF WORK Septic Installation
DATE 08-0 - 2 PERMIT 2-64 PIPE4" O.B.
INSTALLER Pippin (W -206 6 )
INSPECTOR ME DRAWN BY ME
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FOR BUILDING PUR ONLY,
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PROPERTY OFJTV�,�,�� .�
ewer<� •t�' 6�
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'r+'�'7i*3Tziti
N0. }3CRT E ROAD SOUTH WIMDS,OR., CONN.
BEING LOT NO . 21 ON MAP ENTITLED:
" Plot Plan-Oak Grove Acres-Section No. I-Owner & Devcloper
Carlo Prestileo-Be'rle. Road & Christine Lane-South Windsor,
Conn.-By S .A.F. -D .A .S .-Scale 1 "=401-Da.te : April '20, 1971-
Sheet No . 1 of 6 = Revisions : 7/14/71 Easement."
SCALE 1 "=40 ' _ DATE: /-�•PIZtL
z� o19TZ
GRISWOLD,-&I: FUSS INC .
�/ 210 MAIN ST. MANCHLSTER, CONK.
7a 64-
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . .03 August, 1972. . . . . . .
The Sanitary Sewer . . . . .(ptic System) . . .xr,-14x.
at . , a3erle Tla<.td .0 ' Grove Acr.v
or lot #. . . . . . 21. has been installed and. completed
in accordance with the Town of South Windsor ordinances
and regulations., with excGntion of O.Z. , n6t installed.
Accepted and QQApproved
,B- Ple3.vir� Edwalras Jr. Date03 Au tSt, 197?