HomeMy WebLinkAboutSeptic New 149 Brookfield Street 1 � 1
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Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT'
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
FeePaid $...2d..................... By ..............!eT/...............-............. NF .................................................................... Permit No. ......1. .- ........................
Date ......C..`9-69 ..-...7.7.......................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ......... or construction A. of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property ................ .......A ex..a.Kule .... .......... Address of Owner ...................................................................................
2. Location of Property .. .. P. ................................................................................. Lot No. . .....
3. Type of Structure ......................................11.V,!.i?./. IYI ..........
........................................................................................................................
....................
....................
I............
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ...................� ..�-�..............................................................................................................................
5. Number of Bedrooms ................................................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank ........../..0.0.....94, Material of Septic Tank .....................................................:....................................
8. Soil Conditions: Type of Soil ..............................................................................................................................................................................................................................
(Sand, Gravel, Clay, etc.)
Maximumground water table .............................................................................................................................................................................
9. If not served by public water supply:
h Distance from Owner's well ..................NIA..........................................
Fromadjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test ..............................................................................................................................................................................
Classificationof soil .................................................................:..................................................................................................................................
12. Minimum square feet of effective seepage area required ...........3.7F.......................................................................................................................
13. Leaching System: Number of tren hes ................................................ Length ................................................... width .......................................I...........
'Total ............ .Y................... Other .........................................................................................................................................................................
14. Plot Plan Attached. ...............................................................
15. Layout Approved. ....................................................................
16. This.permit expires ...................................................................................................................
Signature ..................................................................................................................................................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
1( 0.�......... 19...7f..., By ..................4!��
PollutionProblem abated Date ................................:............................................. ............................................................................................................................................
Inspector
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 90,9FIFU-P ST.
OWNER R. Alex ander
TYPE OF WORK S6,P7r,' SYSTFI►'1
DATE 6-26-77 PERMIT 71'-2;2- PIPE
INSTALLER Xv _
INSPECTOR DRAWN BY
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."3vCTION I SUBDIVTLIO? of 'ASN WORT`.1 j
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ANON 89 ClfwH STREET - �;X;T .ARTFO ,. N
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7, 1977 SH K -
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t t Q SPACED 12 F;i,:�'r .: .
s /00.00 L .7 76.50
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ado 1 y '�. `--� w,tUv
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HER BY :, RTTFY '0T1l 7).j`T0j—
LTAT0 AS S".OWN AS OF 'r11Y 6, 197r3 j
VIOLAr ;). / PROPERT r Of
1 .0f' .� _:_���� R. J. AL EXANDER, INC.
JAM JAMF.S S. sli . HIY IBROOKRELD Sr. — SOUTH WIND SOR, CONN.
$CA LE : / "s 40" MARCH 2/, /978
✓A MES E SHEENY LA 7054
FOUNDAr/ON LOCAr£D. ON MAY 6, 1978