HomeMy WebLinkAboutSeptic New 169 Brookfield Street � ttirn n� �nn�� tnd�nx�
DeP artinent of Pollution Control
SOUTH WINDSOR, CONNECTICUT`
DRAIN LAYER'S PERMIT
Application for Permit t Install Repair Individual Sewage Disposal System
2 D� ^ '
Fee Paid $..........Q�. .. ............ By ...../I.X.Tr.........soric........f4,1/.x..................................... Permit No. ........�W—A..,...........,.........
Date .....'�.... .2Z.......70........................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ......... or construction X. of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property .......1 ...+ ..:.......Alg.s—oux.aFa�................ A ess of Owner..... ................... ...................,...................
2. Location of Property ...L..Qi'.......' .... . .............. .... ............. ........... Lot No. .........I...�........
3. Type of Structure ...........3............�?. ............... °�1 G_!=.............. .....................................................................................................�....................................................................................................I...........I.....................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ...............I............ 1 '1y/t. ...y...............................................................................................
5. Number of Bedrooms ...............3.......................
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank.......�..Q..t7. .... Material of Septic Tank ..........................................................................................
8. Soil Conditions: Type of Soil .......................................V.......................................................................................................................................................................................
(Sand, Gravel, Clay, etc.)
Maximumground water table ...............................................................................................................................................................................
9. If not served by public water supply:
Distance from Owner's well ........................................................................
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 ...................................................................................................................................................
13. Leaching System: Number of trenches ................................................ Length ................................................... Width ...................................................
Total ................................................ Other .........................................................................................................................................................................
14. Plot Plan Attached. ...............................................................
15. Layout Approved. ....................................................................
16. This permit expires ...................................................................................................................
Signature ...............1.2 , �-..............�-�...11..................................................................................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
................................. ................................................................. .............. 19.... ......... By .............................................
PollutionProblem abated Date .............................................................................. ........................................................................:.............,.....................................................
Inspector
109
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Parcel A
N/f R. j. A LEXA NDENO INC
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63�� f r _ PER 4?. L�IIiA., l+r:.,a i7F P1�JJ r.y.,it 13 1)—
/4%6
r !. ,dIDE Titrit, s
,RAVEL OR
OF 18
"' ��� INCHES; TRENCHES TO BE SPACED 12 F^.ET r..{?._. MIN.'
IN.
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A R fA
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A f
o � ' LoZ M Lot 4P
w c�.
sfPr/c I }t?:it.rUY C:�UTIFY T!?G FOUNDATION I`!
rAw ( LOGAT&D A:i :iHOWN AS OP APRIL 1, 78
V'.D V JL: xa NC ZCNING ..tF.GUL4i'IC�
a RAISED R f
Z� RANCH °a
JAP
4J.I � �3 S?i::�a.Y L.•:�. 1034
40' BUILDING LINE
14
V \
L it 7J J3 tog \
R : /244.S0—s1oE ALK
FIELD BROOK OK STR EE T
i 114G LOT #4 3 ON A MAP :',NT ITLi~.li 11i,"T'Oti
� :, : „ ; „ •F. -, ,-, I itE.Rr'.BY Cr:RTIFY 1'1'Di PLAN.SUBSTANTIALLY
.. JUBDIVTSICN OF WF.NT�tU1TH,ESTAr..L .iaOA ILL ,
,.::G+i+DEti ING._ CC�CT AND TNERr: a�tid ' !' EQvLu'r �JLA-
by Cl iliGii a: ,r - EAR' :{.AR-FOR11i C�7�1N. "IL',� YIUI.4fiE ),
40, v,AY 7, 1�'l7, -�i'L:EiiY-:.UZZI �` �- ,
:ti»txJaACr: , Jlit{11:,Yf�t�.S uNulN�l: ? try �OIvPd�':':?t;1JT v! i .."J�Iil, T •7. 703
'3CUL3YARD - i,A.iT iiA`tTFt7ttD, CONN,"
i •
PRoPERry or
;tk°; VA A L EXA ND E R, INC.
BROOKF/ELD Sr S0417H WINDSOR, CONN. �
SCALE : / "= 40' MARCH 2/, /$78
z V ✓.4MES E. SHEENY L.S. 7054
•sti•, ,,,,,.•`' FO UN DA rl 0 N L DCAT ED ON AR414 4 1978I i