HomeMy WebLinkAboutSeptic Repair 597 Rye Street NOTE: REFERENCE POLLUTION COMPLAINT NO. 0447
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Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or epa' Individual Sewage Disposal System
Fee Paid $............1.Q..:.QQ...... By ..................Q.A.Mh..................................
.............................................................................. Permit No. ..7..3-.1.4........................................
Date ................Q9...AP-xil..,......197.3........
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair XX.. or construction ......... of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property ............R,ob.ert...C.ul y.er........................................ Address of Owner ....5.99...Rye....Straet............................................
2. Location of Property ......5.a me......................................................................................................................................................................... Lot No. ..............................
3. Type of Structure ...............DW-0.1.1 ixg....................................................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ...........TW.o..... . )......f. .U..i.4a............................................................................................
5. Number of Bedrooms ..S.ix....(6)....................
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 ........................ - ....�9./..7.
Fromadjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .......................................................................................
11. Percolation Tests: Time for 1" drop in soil test ......ROPA.�.r.................................................................................................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required ................7..5.9....K ft.................................................................................................
13. Leaching System: Number of trenches ................................................ Length ................................................... Width ..........3-a-0 f-t-*................
Total ................................................ Other ........................................................................................................................................................................
14. Plot Plan Attached. ......No..................................................
15. Layout Approved. ....................................................................
16. This permit expires .........09...e,UX.0..,....1.9.7..3..........................................................
Signature .................... ................... .........:............. ............................. .................................
Michaud Navaroli (Licensed Drain Layer)W9-206906
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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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawixg xot to scale. LOCATION 599 Rare Street
'D B OWNER Robert Culver
A TYPE OF WORK Septic Repair
B 67 DATE 05-07-73 PERMIT -14 PIPE 41t O.B.
INSTALLER Na va.roli (Wg-206906)
INSPECTOR HWL DRAWN BY ME
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Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT'
DRAIN LAYER'S PERMIT
Application for Permit to Install or ep ' Individual Sewage Disposal System
Fee Paid $...../.0o.�..... ...... B Cr�+�s�ta.... '..................................................................... Permit No. 77"..,`............................
y ........ .- �, . .
Date ............. ati./...a.7...............................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair .$.... or construction ......... of an individual sewage disposal system concerning which the following
information is submitted:
.5597
1. Owner of Property 0.0......... Address of Owner .............. . S "•........................................
..........................
2. Location of Property ................. ....... . .. .......................................................................................................................... Lot No. ..............................
3. Type of Structure ..................i ........................... 11
e--...................................................................................................................................................................
(Dweing, Comm rcial B 'ding, Store, etc.)
4. Number of Families or Persons o Occupy Premises ......................................................................................
5. Number of Bedrooms ...... ........., ........................
6. Average Daily Flow .........10. .D.......1&/.........
Manufacturer and
7. Liquid Capacity of Septic Tank ....../60.0................................. Material of Septic Tank .... t . ....................................................
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 ..............
7S-,.a..........+.......................
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. ...... P '..ls...........................
15. Layout Approved. .................... ..............................................
16. This permit expires .........................................................:.........................................................
Signature ............. .... ............ �.. .. .. b
(Licensed Drain ..............
Layer)
Installation Completed, Inspected and Approved in accordance with State Public ealth Code and Local Ordinances
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................................................................................................................................... 19...7 By ........................ ...............................................................................................................
Pollution Problem abated DateA0A ��
Inspect
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J THE TRAVELERS
Certificate of Insurance
This is to certify that policies of insurance as described below have been issued to the insured named below and are in force at this time.
If such policies are canceled or changed during the periods of coverage as stated herein, in such a manner as to affect this certificate,
written notice will be mailed to the party designated below for whom this certificate is issued.
1. Name and address of party to whom this certificate is issued 2. Name and address of insured
F
Town of South Windsor Barney Huginski and Charles Hugins i
Sewer Department North Road
1540 Sullivan Avenue Broad Brook, Ct. 06106
So. Windsor, Ct.
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3. Location of operations to which this certificate applies
Connecticut
4. Coverages For Which
Insurance is Afforded Limits of Liability Policy Number Policy Period"
Workmen's Compensation and Compensation—Statutory
Employers'Liability in the state
named in item 3 hereof UB-80OA877-9-76 4-1-76-77
Bodily Injury Liability '
—except automobile
$ ,000 each person
$ 300 ,000 each occurrence 650-80OA877-9-IND-76 4-1-76-77
$ 300 ,000 aggregatet
tCompleted Operations
cluding Protective and Products only
Property Damage Liability
—except automobile
$ 300 ,000 each occurrence
cluding Protective $ 300 ,000 aggregate
Bodily Injury Liability
—automobile $ 100 ,000 each person
$ ,000 each accident 650-800A877-9—IND-76 —1-76-77
$ 300 ,000 each occurrence
----------------------------------------- -----------------------------------------------
Property Damage Liability '
—automobile $ ,000 each accident
$ 50 ,000 each occurrence
Liability(Bodily Injury and $ ,000 each occurrence
Property Damage) $ ,000 aggregate
$ ,000 each occurrence
Catastrophe or Excess $ ,000 each aggregate
$ ,000 deductible amt.
;Absence of an entry in these spaces means that insurance is not afforded with respect to the coverages opposite thereto.
"Policy is effective and expires at 12:01 A.M., standard time at the address of the named insured as stated herein.
Description of Operations,or Automobiles to which the policy applies:
All operations and vehicles
The insurance afforded is subject to all of the terms of the policy,including endorsements,applicable thereto.
Producer Gouin—dray Agency, Inc. Office t. Date 3-9?-77
EQUITABLE FIRE AND MARINE INSURANCE COMPANY THE TRAVELERS INSURANCE COMPANY
THE TRAVELERS INDEMNITY COMPANY -
THE CHARTER OAK FIRE INSURANCE COMPANY
By
Secretary, Casualty-Property Department By
C-5918 Rev.7-68 PRINTED IN U.S.A. 371 Secretary, Casualty-Property Department
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