HomeMy WebLinkAboutSeptic New 179 Brookfield Street 1
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to tall Repair Individual Sewage Disposal System
20• P A �/ S �T7(- 7�dK ✓1 ci
FeePaid $.................. D.................. B y ................................................................................................................................................. Permit No .....78. ......:......,.......................
Date .....��4 Z.... .;& .... ................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ......... or construction ......... of an individual sewage disposal system concerning which the following
information is submitted: j�
1. Owner of Property . - '� ' `L�� Address of Qwne............................................... ...........................................
2. Location of Property ........1 .Q.:: ........: .... ...................... 2&1�.o.0.� .. . .0...........................5.. ........... Lot No. ..............................
3. Type of Structure ...........a.....`g (?.. ?a.!.. .................. .5 .. .......................................................... ...............................................................................
(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..... .. . ................. Material of Septic Tank ..........................................................................................
8. Soil Conditions: Type of Soil ......... .. ..........................................................................................................................................................I..............I...........
(Sand, Gravel, Clay, etc.)
Maximumground water table ..............................................................................................................................................................................
9. If not served by public water supply:
Distance from Owner's well ........................................................................
From adjacent 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 .............. ...................... .......... ... .............................................................................................
Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
............................................................................................................................�,.... 19.................. By ................................................................................................................................................
PollutionProblem abated Date .............................................................................. .............................................................................................................................................
Inspector
y
..AN
Pareol NDENI lNc'
NlF
R,`J. ALEXA
I HEREBY CERTIFY THE FOUNDATION IS
LOCATED AS SHOWN AS OF APRII. 1, 78
THERE A:C-: NO ZONING REG UI.ATI ON
VlI ObkT .D.
Ai�t :i �".�- Jtr 1_.a. 703L
42. �
Lot 4/
~
Lot 43
EACN/Ns
��A BEING LOT 42 OP; A XAP FMI'ITUD:
+13.4;CTICN 1 SUBDIVISION OF WENT-
'STATES*AL. o, WORTHaSTATES BROMF' ELD T. -
G7LT ` SEPT/C TAM 1t2, SOUTh WMSOR, v INN. R.J.
AL:. XlDSR IN" . - DMLOPER 89
CHURC71 STREIT - ..AST HARTFOR:,
Al. 1" 401 MIA 7, 1
1ST/NGB A HEE'liY-LU`LLI ASSOCIATZS,
c
w RANCH ii s .1'T.-IV3 Yv<RS ENti INFERS5 CO�t1+HTIIlT
rya_ r Iry 0 BOUISVAiLD - EAST HA.RTFORD, CONN.,
Z
rn l!a i P`iIi: SYST3f
14- LM-At FSET OFITME PSR BED-
4-4�0 ' BU/LD/NG� L /NE i OOM LAID R, :3 F1 WIDE T;UNCHES
*f FTLLED idITTI WASI'-'-) GRAVEL OR
BIRCXEN STONLI FORA 1)EPTII OF 18
ITICHES, TRENCHES TO 9E SPACM)
L = /OQ 00 12 F:: m C.O.C. ;-21.
L = 73:53 L= /9. B
OE L s M44.5l�X
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WP
$ROOELD °• ` f
+ ET •` - ` �1
STR
1 H :REBY EiTIFY 71 M PLVA rSUJRSTANTIALLY
4'r•-,.
tE NO ZCN iING REGULTION
r ''� Z'y�,v -` , k;'r�.x .•J
:L .�
,J 1041-A
., :.., T, ,S 7 PROPERT-r Of
R.J. AL EXA ND ER, INC
BR OOKF/ELD Sr.. — 50UM WINDSOR.. CONN.
SCALE: /" • 40' MARCH P/, /978
✓A ME,S E. SHEENY L.S. 7054
FOUNDATION LOCAW, ON APR/L /, 1978