HomeMy WebLinkAbout1978-6-26 - 149 Brookfield Street - Septic Applicationl �
Down of 111�out4 i0inbsor
Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $aj By e4�.rlttli2- XNF .......�
2 d .................w. .....__.._w.. _.w ....... Permit No...............�
C 9 # // 77 Date ......�..-. �.. Cv....-...7...1.......................
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ..... or construction A. of an individual sewage disposal system concerning which the following
information is submitted:
1. Owner of Property .............. .....o;.......&-exa.... .,.vr............. Address of Owner ......_..... ...—,........ . ..... .......... ....»... .......... .
2. Location of Property ... ..YOr1��....._.x�........................................ .................. Lot No.
3. Type of Structure .. t!�'. ��1l,tat;......::...........................................,,......._..........................— ..m.------ ............. ............
M...._.............................
(Dwelling, Commercial Building,Store etc.
4. Number of Families or Persons to Occupy Premises .......................g.................. — ..... __._... ................ .................. —...........
...»........
5. Number of Bedrooms
6. Average Daily Flow ..............:...:.:,.......:::...::....::..
Manufacturer and
7. Liquid Capacity of Septic Tank ..........�..l�. YO-� ......... Material of Septic Tank........................................................... ............. ........
,...,....
8. Soil Conditions: Type of Soil ........................................................................................................... ................ ... ............................ ..........................
(Sand, Gravel, Clay, etc.)
Maximum ground water table ............. — ...... --- ........... .......... _...
9. If not served by public water supply:
Distance from Owner's well .............. N�....,.;.,::..::.................:.....,...
Fromadjacent wells .,_..:.....— .....................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment .................... _............................. ...................
, ,.,......,,M.
11. Percolation Tests: Time for 1" drop in soil test ............... ............................................................................ .............. ...................... ...,........................................
Classification of soil
...............
12. Minimum square feet of effective seepage area required ..........✓..7..................................................................................................................
13. Leaching System: Number of tre es ...... ........ ......... .....,..,, Length . Width
Total.........--j .............. Other ,..........__... g....-��.....�..............................._........ ...
14. Plot Plan Attached . ............ ..... ............_................ . .....
15. Layout Approved . ........... ...................:.. _ It
16. This, permit expires
Signature.......... ..... • ....................................................................... ...... ..... ..
(Licensed Drain Layer)
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
................ _._........._............. .......... ..........tv ...`...... G......... 19By ... ...............c , +4.......... _.......... ._...... ..... ............ .................
_....,.,...
Pollution Problem abated Date ......................... ..:,......... .,...........
._:..,.......:w,:...:.: .:.............
Inspector
'1
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 40T 46' ROd,�f��c.D ST
OWNER ?,a, A- excrdPr
TYPE OF WORK SEA k. Sv's-rz >'l
DATE (-2'6-7" PERMIT V-2;2— PIPE
INSTALLER
INSPECTOR G DRAWN BY
im
96 pvacE,go ..
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%0 lot 104 �ANoER, INC
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Lot
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STATES BROOKFI_.LD :;:.- OU1!,' WIN:33CLc)
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r �OC
F! 42 LIlfLAJ .� T ;`f 'TT'!.i
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T�rn�.a�r��o c�;Vck
`00 AREA A DEPTH OF 18
1
lot -�
= 40. 53
y s/ 00' 0 0 L- 76.50
� 44.50 .51DEWA L K y �4
WAFAW
:B R OCKFI EL D ,STREET
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1 HEHZ-BY .,.,'PTIFY �i1.�, .I. .i Tl.. l.�:'T���, L; i -.T r.''....1 f 1�� %Jf'•I
• ' 1
i,l A-_ D A3 37'04N „S OF '!AY 69 1'?7 (�
AND TH33, A- ; NC ?:�� :t,,G'.TT,API J1-;
VIOI.AT-;15. PROPERTY OR
/Jfjj�j{`l R. J. AL EX A NDER, INC.
RROOKFIEL D ST. — SOUTH WI ND SOR, CONN.
SCA LE: / to ff 40' MARCH 21, 1978
✓A NES E SHEENY L 8 7034
FOUNDAr/ON LOCATED. ON MAY 6, 1978