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HomeMy WebLinkAboutSeptic New 00 Grace Road FEE TO THE BUILDING DEPARTMENT Application No. « 3 TOWN OF SOUTH WINDSOR Date 7-6 I hereby apply for permit to build a sewage disposal system for a (Residenc boarding house, hotel, etc.) Owned by, -�= of L e And located at , To be built by L -- of in accordance with det iled information stated below. Signed (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1 . Estimated population of premises (present) (future) 2. Description of premises (including number of bedrooms) No. Fixtures (Above basement): Water Closets Urinals -; Lavatories 3;. Bath tubs Showers Kitchen Sinks�_Laundry Tubs Garbage Grinder t basement fixtures 3. Water Supply Kind of Well /��-�-ram (Public, well, spring , cistern) Location of well and underground water piping Method of obtaining or storing supply !/ (Pumps , tank, etc.) 4. Character of soil at proposed location of leaching system, including depths of various strata ate' (sand, loam, clay , hardpan, rock, etc. --Use test pits.) 5. Elevation of highest ground water (with reference to both present & future grade) Description of proposed system (Furnish drawings of same , with plot plan showing system including location, size , grade and material of house sewer and locations of ground or surface water drains , wells and bodies of surface water.) Septic Tank 75 `U Dimensions Capacity below flow line Inlet and outlet arrangements Facilities for cleaningelt-4 oa1,LadP.es Distance from dwellings on same property /D .iY. on adjoining property Automatic Dosing Apparatus , if any (describe) t-- Soil Absorption System If cesspools , No. diameter ft.; depth below inlet ft. '! If tile field or leaching trenches , total length is ;�Z y U ft. Width of trenchesft. , depth of broken stone or screened gravel ft. Stone or gravel will be covered by Distance between (tar paper, salt hay) trenches ft. Distance from water supply on same property j J on adjoining property Secondary Treatment, if other than soil absorption. Describe in detail and locate on map System was designed by Above information furnished by No discharge of sewage or sewage effluent into any watercourse should be permitted without approval of the State Department of Health and State Water Commission. f! 04� 16, M t�64 i � 1,p 4 f t 4 T�4 y J t 4 s h r t 't e �• r 1. �x +r t r �.". .. sawn of *n ittboar Department of Pollution Control SOUTH WINDSOR, CONNECTICUT' DRAIN LAYER'S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System B ;.............. Permit No. ......................::...........Fee Paid $...........::::......... y ......:.................... .....I................. Date ............................................................................ 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: 1. Owner of Property ..................:..................::........................:.................................. Address of Owner ..............I................... ................................................................. 2. Location of Property ...................................::...........::............................ .............................................................................. Lot No. .............................. 3. Type of Structure .................:.......::..:.......:::. (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons to Occupy Premises ...................:.....{............................................................................................................I....................... 5. Number of Bedrooms ....'...................(.................... 6. Average Daily Flow ................................................... Manufacturer and 7. Liquid Capacity of Septic Tank ............::.:...:..............:.....::.:.........:.. 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: Distance from Owner's well ....................................... .e.e...We11...Drilling Permit #12269 attached. Fromadjacent wells ................................................:............................................ 10. Distance to nearest water course, drainage ditch, storm drain or embankment ....................................................................................... 11. Percolation Tests: Time for 1" drop in soil test ...........:.............1..................................................................................................................................................... Classificationof soil .................................................................................................................................................................................................... 12. Minimum square feet of effective seepage area required ...............:.................................................................................................................................... 13. Leaching System: Number of trenches ........Th;re.e...(3.)....... Length ..........1.68....;.t................... Width .................:...........:..................... Total50...sq..:....f t.•......... Other ..............................................................................................................................................I........I................ 14. Plot Plan Attached. ............................................................... 15. Layout Approved. ...........Yes............................................. 16. This permit expires ................... :............:........... .. ..........:. NOTE: Well location changed to 30 ft from house due to placement of septic tank Signature .................................................................................................................................................................................. (Licensed Drain Layer) Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances 22...September.......... 19....:.....7..2.. By ,.:........Melvn....Edwards, Jr. PollutionProblem abated Date ................................:............................................. .......................................................................................................... .......................,....... Inspector t WELL COMPLETION REPORT STATE of CONNECTICUT WDB-5 12-69. REV.9-PI WELL DRILLING BOARD Do NOT fill in State Office Building STATE WELL NO. HARTFORD,CONNECTICUT 06115 OTHER NO. NAME ADDRESS OWNER OA$L+O PMT11= I 69 AM ROLD W"PINGS CO . LOCATION (No.& Street) (Town) (Lot Number) OF WELL GUM ROAD 8WT11 14MMOR BUSINESS PROPOSED DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE OF WELL PUBLIC AIR❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ ((SSpecfy) DRILLING ® ROTARY ❑ AIR PERCUSSION ❑COMPRESSED CABLE ❑ OTHER y) EQUIPMENT- PERCUSSION ( p LENGTH (feet) ( DIAMETER(inches)I WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED? CASING DETAILS 19.45 I ® THREADED ❑ WELDED I YES ❑NO ❑YES IN NO YIELD HOURS YIELD(G.P.M.) TEST ❑ BAILED ❑ PUMPED COMPRESSED AIR MEASURE FROM LAND SURFACE—STATIC(Specify feet) DURING YIELD TEST(feet) WATER I I Depth of Completed Well LEVEL 60 135 in feet below Land surface: 1 50 MAKE LENGTH OPEN TO AQUIFER(feet) SCREEN DETAILS SLOT SIZE I DIAMETER (inches) I IF GRAVEL I I GRAVEL SIZE(inches) FROM(feet) ITO(feet) Diameter of well including PACKED: gravel pack(inches): { DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances,to at least - FEET to FEET two permanent landmarks. Samd & G av 1 20 2Hardpan 3 2 - Reddish Rock f / are If yield was tested at different depths during drilling, list belowjr"!•E' FEET GALLONS PER MINUTE DATE WELL COMPLETED I PERMIT NO. I REGISTRATION NO. I DATE OF REPORT I WELL DRILL (Sign , re) 3. DIRECTOR OF HEALTH y N tQ ' 1 m � o' Sc�p1rl bc�oR 3 Q NOTES : Scale = 40, in 1" approx. SOUTH WINDSOR POLLUTION CONTROL S T D B LOCATION Grace Road (Lot 4) A 30 35 OWNER Carlo Prestileo B 29 35 TYPE OF WORK Septic Installation DATE _ - 2 PERMIT PIPE4,, O.B. INSTALLER P' w -2 6 6 INSPECTOR ME DRAWN BY ME To k+N . o ,o -- IZ5 © o N A- 4- 8, 1JOTCe V/��1�1JCE GRAt�1TEA `J —' gmMF 40 I960 Z.$.a. p 40 L. 40 A-PPm,N.L. iA � (� •runt J Q St=P'ttG"CArvia.- N V ;� JtJ� 0-1i2+5W01-1> 4 FUSS INC. 7-2$-72 ~� PIRG TCSY, RATE;S MIN PEt2 IPxsv f �� _ ''11 ZG" DEED r as \ Y" 2 FG I�CT IVi= lr ABM i taG� HST ,d'� CP AREA = 375�' 02 15c� Lt>`l. �T zt.3s' }� '_- -Z -j�•�32. Ni of Z ZSIGN=400 1P ORL I<ao' OF 30'•4RENC,M � � d._ \ 13- Z3- 5 0 ' H SC.I pC AY2� S r= o,o b 7-25-72- p M•S �O" P���v Gj I �60.2 �oe.q>Iaar -- !° -�- 77r r_ 50'' 3 r= \4•�I v Y ?01DERTY OF NO. GRACE ROAD. SO. I TDSOR, COi�T Being Lot No. 4 on map entitled: "Sheet 1 - Paradise Lakes - Developed by Thomas C . Deluca - South Windsor , Conn. - Scale: 1" = 401 , Sept. 28, 1954 - John J. Mozzochi, Civil . -.g'_neer". SCALE: 1" = 401. Date : GRISI-10LD & PUSS, INC . 210 Main Street Manchester, Conn. TOWN 'OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. 06074 DEPARTMENT POLLUTION CONTROL Date . . . . . . . . . . . . . . )/4.�—' . . . The Sanitary Sewer . . . . . . . . Septic System . . . . . . . . . . r at . .— . . . . . . . . . . . . . . . . . . . . . . . . . or lot . . . . . . has been installed and completed in accordance with the Town of South Windsor ordinances and regulations. Accepted and Approved BY — — — --- -- Date — --------