HomeMy WebLinkAboutSeptic New 320 Brookfield Street 71.
own of
Department of Pollution Control
8OUTHWDND&OR, CONNECTICUT
DRAIN LAYER'S PERMIT ^
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Application
for Permit to Install or Repair Individual System
Fee Paid �---�1}^��-- �vB��l��������'i������0�'�D�C�^��' ------ Peznm� -�ILL �����.---------
Dutm .......................................I...
Pnrmzuot to written application, permission is hereby granted to the Lim000md Drain Layer ounaod herein
for repair or construction -. of an individual sewage disposal system moou*roiug which the following
information is submitted:
l. Owner of Property --------------------------------. Address of Owner
| 2. Location of Property -'m.i.eoi,:�......................................................................................................................................................................... Lot No, ...........
@. Type ofStructure ----l'Ai-011.ia�----------------_-------------------_-_-____________________________.
(Dwelling' Commercial Building, Store, etc.)
4. Number of I?uomilioo or Persons to Occupy Premises .......... ..........
0. Nnnubmz of Bedrooms z-1.�1----.
' G. Average Daily Flow ----------------'
Muoofuotnzer and
?^ Liquid Capacity of Septic Tank |�/)....' -....!l^... .............. Material of Septic Tank`.;.. -------'
0. Soil Conditions: TvomofSmil ------------------------------------------------_----------------------.
(Sand, Gravel, Clay, «tcJ
Mux6uzou ground water table ----------------------------^-----------------------------
9. If not served by public water supply:
Distance from Owners well ...............................................
Fromadjacent wells .............................................................................................
11 Distance ta nearest water course, drainage ditch, otoozu drain or embankment ------------------_--------'
ll. Percolation Tests: Time for l° drop bu soil tmet --2. ...L----------------------------------------'
Classification of soil -----------_---------------------------------------------------.
1� Minimum square {mwt of effective seepage area ���-���&-��-��L.��������:-'��1a�-���.���-IZ,'-.���---
13. Leaching System: Number of trenches ................................................ Length ----------------' Widtb ----------------'
Total ---------------- Other ------------------------------------------------------.
14. Plot Plan Attucbed. ....... .......................................
15. ~_y~~. ^-pp--'__ .................._'_---'_'_-_
16. This permitexpires ` .................................
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
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-------'------------------_------_-_' 19.................. By ...............................................................................................................................................
PollutionProblem abated Date ................................ ........................................ ..................................... -..................................................................................................
Inspector
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SROOKFI FL D STREET
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PR OPERrr OF
s . R. J. A L EXA ND ER INC, l
BROOKFIELD 31' — SOUTH WINDSOR, CONN.
S C A L f !" = 40 ' JUNE 5, 1975
✓A H ES E. SHE EH r L,S. 7054
t':Te �T Gro, t b y S s�--
G,own lat Ono* Iviltbour
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $ '�� By 3� as bo �� ai Pp v� ^b�.1V 5.. ............. Permit.No ....4�... , .... . .......
Date 1* Oc.to �-r, y79
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 .................................................................................................. Address of Owner .A:?!
2. Location of Property .....0�rxxjt.............................................................................._........................._.........................................,.................... Lot No. . ..:: ...............
3. Type of Structure ...............L:-Iell'in..............................................................._.................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ......... ....{:.i.1.....,f anily..........................................................................v............,........
5. Number of Bedrooms ...a`,+':���....t.�?.............
6. Average Daily Flow ...................................................
Manufacturer and
7. Liquid Capacity of Septic Tank `'..ai19.4. Material of Septic Tank'.,^,.'P� ................:...........
8. Soil Conditions: Type of Soil ........................................................................................................................._.................................................................................................
(Sand, Gravel, Clay, etc.)
Maximumground water table .............................................................................................:................................................................................
9. If not served by public water supply:
Distance from Owner's well ...7a ??.c,........I..... .
Fromadjacent wells ................................................................................._.....,._..
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. PercoIation Tests: Time for 1" drop in soil test .......;'..:.n..I.......mo -" ••••••.•••••••••••
Classificationof soil ..............................................._.............................................................................................._..................................................
n.M }
12. Minimum square feet of effective seepage area required". i _...f ....;' : .b':S o :� t Jy. r `....
13. Leaching System: Number of trenches ................................................ Length ................................................... Width ...................................................
Total ................................................ Other ........................................................................................................................................................................
14. Plot Plan Attached. ......Ys...........................:........
15. Layout Approved. ....................................................................
16. This permit expires ...............'. ...a?.... ...."'� ..s...'1�:%......................
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
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PR opFRrr of
R. J. A LEXA ND ER INC,
a BROO K F!E L D 57, -- So U7"jq WINDS OR, CDN�l.
S C A L E �.,, 40 ' JUNc �, l9T,5
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✓AMES E. S3�I�'EHY L,S. ►
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BROOKF/ EL D STREET
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LOT YANK
BEING LOT 8 CN A MAP ,]Nl'rrl.FD:
"PLAN OF F -m p4ORTH ESTATES ` i L EACH/NS ,
BRAOKFLyLD ST. & GRIFFIN 10. ARE A
S OjJTH WIN Ds cit, C ONN. S C ALS
hol , MAY 10, 1973 JAME`.;
iffSEHY L.S. 703G" o w
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SEPTIC SYSTEM
42 LINEAL FEET OF T PER BED- a •� �•
ROOM LAID IN 3 FT. WIDE: TRENCHES aL <�
FILLED WITH WASHED GRAV: L OR HROKEN 61 N/F R. J. ALEXANDER INC
STOP FCR A DEPTH OF 18 IyCHES, PO/CB/ "8
TRENCHES TO BE SPACED 12 FET
I HEREBY CERTIFY THIS PLAN SUBSTANTIALLY
I HEREBY CERTIFY THIS PLAN SUBSTANTIALLY CORRECT AND THAT THE FOUNDATICN 15
CORRECT AND NO ZG1 JNG REGULATIONS VIOLATED. LOCATED AS SHOWN AS OF SEPTEMBER 27,1975
AND THERE ARE NO ZONING REGULATICKS
VIOLATED.
L.a. 703 �.
PR OPERTY OF
4 ;
R. J A L EXA ND ER INC*
u+ 4 k BROO K F/ESL D Sr.. - SOUTH WINDSOR* CONN.SCALE : / = 40 SEPT, 27, /975
€. , ,tea► '' '4�• ✓ANES E. SHEENY L.S. 7054
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