HomeMy WebLinkAboutDrain Layers Permit 151 Berle Road Department of Pollution Control
SOUTH WINDSOR,f CONNECTICUT }
DRAIN LAYER'S PERMIT F
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $..ZQA-00............... B O..amer....to...Bu�.�-.41�.,�1 D y �.. ....ep .x'tm. aA t...:.�.1..1.�Q171.)..... Permit No. ..7..2.-�.7................
Date .............28 March.r., 17..
Pursuant to written application, permission is hereby granted to the Licensed.Drain Layer named herein
for repair ......... or construction XV of an individual sewage disposal system concerning which the following
information is submitted:
s<
1. Owner of Property :............Car.lo....Prestileo
................................................. Address of Owner ................66 ...Ash
...Road ............................
2. Location of Property .................l.V............Berle. Road, Oak...Grove Acres.......................,........,.............. Lot No. ........2Q..,.........,
3. Type of Structure ................Dwelling.........................:............ .... .....................................................:. ,
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ............One (1) family a
......... ........
5. Number of Bedrooms 14.)..................................
6. Average Daily Flow ...................................................
Manufacturer and n
a -7. Liquid Capacity of Septic Tank l,..Ir 4 .4A,&4--t4.0 Material of Septic Tank r .Rno.w:..:.... ..............r .a ET E
8. Soil Conditions: Type of SoiI .............:...................................................................... ........ ......... ....................................................................
" (Sand, Gravel, Clay, etc.) r
Maximum ground water table ..............,....................................... j
9. If not served by public water supply:
Distance from Owner's well ......75..feet ..See Well Drilling Permit #?954, dated 12/01/71)
From adjacent wells 75...feet,. +
.................................. ........
10. Distance to nearest water course, drainage ditch, storm drain or embankment ....................................................................... f.
11. Percolation Tests: Time for 1" drop in soil test .......:.t.w.�R.t3'....t. Q.)....M.�7tl t. ............:..:........................................................:.
Classification of soil ........................ :......................... ..
12. Minimum square feet of effective seepage area required 265 sq ft,...per.•,bedro om,,,,,,to,tal,,,.of•f•,Q6 Osq••„ft. ;'
13. Leaching .System: Number of trenches ..........�'aaax' �.4.)......... Length ...........35.5....ft. ............... Width ......... 3�O,,,feet -:
...........
Total ..1..,.�:65..... ........ . .� Other .......:........::..................................:
14. Plot Plan Attached. .......Yes Im............................................ ...............,.........,........:. ....
15. Layout Approved. .............Ye..m............................................
16. This permit expires ..........28...May.n....1.97'..:......................:.................
_
lj
Signature ...........Rioiak
(Licensed Drain Layer)
t
Installation mpleted, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
...............................................................................o7...A.Pr l....................... 19........... By
Pollution Problem abated Date ......................... .................................. ........ ... ... .........
Inspector
lJtlQ
14/14
�-A7 E2A
9+9 5
A
04QN
2 2.`
75
so
was '
NOTES SOUTH WINDSOR POLLUTION CONTROL
Scale = 40, in 1" approx. LOCATION Berle Road (Lot 20)
OWNER Carlo Prestileo
TYPE OF WORK Septic Installation
DATE o4-0 - 2 PERMIT 2-1 PIPE 4" O.B.
INSTALLER Pi in (W9-2063 30�
INSPECTOR ME DRAWN BY ME
ELL D tIL NG B A1tD. -OFCONN
STATE
`FICIf `�� , :�}
F w0>3-a ,>, 9 WELL'.uruIP ��l�,.7+� �� '
STATE OFFICE 61,111. NO,HARTFORD,,ONl4alCIIT 06115:-
t� L
• - z
LOCATION OF WELL.(iown) SfreeY r
( ) r,, (lot Num er. _ D(rT �
7;
OWNER OF WELL J y
7
❑ INI IYIDUAL 14BUILDEiZ - ❑ OTHER!(Specify)An! %(AIPPM41 x
OWNER S A DRESS°
2
PROP6SED y BUSINESS Est fir:s r
S
r DOMESTIC ESTABLISHMENT ❑ FJr itM ❑• Peop } r
* USE bF PUBLIC
WErLL ,W-' ,j_j SUPPLYr ❑ INDUSTRIAL ❑`CONDITIONINQ
R EfY)' ' v`
❑ $ ecl :z
SKETCH OF WELL LOCATIONS
ILntersection and frorfslot ., t
-
Locution of lgt a roads. Well iocation on lot and house.(if preseht).
41
Indicate'North e
� y
< {£3
y
if 4
P A
—TIP, :,
H f
fj�jib ' x'
fiPr*e _
Approximate number of feet from,well to i
nearest source of,possible contamination.
the untlersigne 'is aware.thaf'upon.completit5Wof the well,-sr'.:Well Completion Report',' containing constructiondstails•antl information requuectrunslerSecti
Rubht Act`659 must be sent to the'rowper,the 8ogrd and the Water.Resources Commission on the form•piovided by--the Board.'This'permit Is.not-valid until pIG irtfoL =a
tion is.filied:in and it has been counte,signed.by the Director of Health or his agent:.
gnu APBLICAt$'S�AD RE REGIST�"1y4� "
BY(T ealth Officer or Agent) DATE i
APPROVED ❑ REJECTED
REMARKS ;.
t
DIRECTOR Of.HEALTHf r '�
Von
ay P, pip,
3�
MIN W YE STA
IditQ �®♦ !(o
STJ a
NH BUILDING PURPOSES ONLY
- 4-Y-j C�4AR-L-E.S IF, t�rN��.iN�. V• ���'1� �t��
t
QC-LUOkW C.
I
t
Ttaet�anou���
gj
io
a ► � r _ as _ 1
'. rj0 ti.:✓ _.TUC�.l:HROiti:] Zoo !'r-vLF:.`�
2
/- -cC
is
Tuc�aArl�: Lit�a 1 .'
t�c� A_ .�
PROPERTY OF
WO BERLE ROAD WIIvDSOR, T�
it j17 s+. c
Boing Lot No. 20 on iniiap embitled, "Oar, Grove Ac::-as - Secti -
C.Yn er & D, veloper Carlo '''restileo - Berle Road & Christine Lane - -
South Windsor, Conn. - Dy S-.A.F - .A.S. - Sca1o: 1" = 40v -
Dzte: Apr. 20, 1971 - Sheet Iso. 4 of b - Revi od 6-11- 1-1 z�ai�iage -
7-13-71 San. Sewer", Griswold & Fas s, Inc . , EnSrS, .
SCALE: 1" = 401 Date ., 97, 4
GRIStijOLD & FUSS INC. I� Mglswaica misimu 51riz) �
MVCHESTER,. C6NN. �`•�- �
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date
The Sanitary Sewer Septic System XXXX
at . 33es� oz�'b,,. Ual� Grc�v,Q kcrc . . . . . . . . . . . . . .
or lot #. . Q. , . . . . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
ie ' zn �U1'w�rei 0 07yiA ril, 19 P
By Date
rx