HomeMy WebLinkAboutSeptic New 466 Barber Hill Road TOWN OF SOUTH WINDSOR
HEALTH DEPARTMENT
Application for permit to install a new/repair subsurface sewage disposal system. To the Health Department,
Town of South Windsor. f 2,5�
Fee Paid 9, •rr) Date Permit Number
As a subsurface sewage disposal sys m Installer licensed in the State of Connecticut, I
T k yL CL2 Lk-0s 3 -I ff'0'\:3r 0055'6,�k
Name, Address, Telephone Number, License Number
hereby apply! for &,Iermit� to const�ct/repair a subsurface sewage spqral s stem located at
aft!rb .0,,/' a� /O and owned b
Street, wwAddress, Lot Number Name
Address
Information to be supplied by Applicant:
Type of dwellin If non-residential, estimated daily flow
Residential,Commercial,Etc.
Number of bedro s Size of lot 44 leC
Number of fixtures above basement l—� n
Tubs,Sinks,Toilets,Etc.
Number of fixtures in basement, ifany YlC2✓I
Pumped or gravity flow,
Type of water supply If private,type of well
Public rivate
Information to be sup ed by Health Department:
Soil type at various levels
Percolation rate Square feet of effective leaching area required
Size of septic tank Type of system
Trenches,Drywells,Etc.
Number of dry wells, trenches, etc. Distance between individual leaching
units. Distance from well on same property on adjoining property
Curtain drain required
Yes,No
Height of system above ground water maximum ground water ,
ledge , impervious soil layer
If automatic closing is required,description
A PLOT PLAN INDICATING LOCATION OF PROPOSED STRUCTURE, WATER SUPPLY, SEPTIC SYSTEM, EM-
BANKMENTS, WATERCOURSES, PROPERTY LINES AND ALSO INDICATING EXISTING AND PROPOSED
FINISHED GRADES MUST BE SUBMITTED BEFORE THIS PERMIT CAN BE ISSUED.
THIS PERMIT IS NOT TRANSFERRABLE FROM PERSON TO PERSON OR FROM PLACE TO PLACE.
NO PART OF THE SYSTEM SHALL BE BACKFILLED UNTIL IT HAS BEEN INSPECTED AND APPROVED BY THE
SANITARIAN.
SPECIFICATION AND REQUIREMENTS AS STATED IN THIS PERMIT MUST BE MET AND ANY CHANGES MUST
BE APPROVED BY THE TOWN SANITARIAN BEFORE FINAL APPROVAL WILL BE GIVEN.
THIS PERMIT SHALL NOT BE CONSTRUED AS PERMISSION TO CREATE A NUISANCE CONDITION NOR IS
THIS SYSTEM GUARANTEED BY THE HEALTH DEPARTMENT.
�ss�a
Permit Received by Date
nature ofApplic nt Licens u er
For Office Use O
Permit issued by Date
System installed by
Final Inspection Approval Date
EXIST. MON.
CPP FE N STATE OF CONNECTICUT 6.12' NORTH
f, 1NV:314.78 TREE W WIRE TREE W/ WIRE 4.55' WEST
/ N 9' 42 E
h �
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D EXISTING MONUMENT e I - W W
1% EXISTING U71UTY POLE -\
•, •• EXISTING CATCH BASIN AND PIPE I I v\ U // I 1�/ ,� BIT. DRIVE / C 20' -yL,
-FJ)T ROOF LEADER - I
w-WATER SERVICE
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INV:311.99(N)
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MAP REFERENCE, 43 559t S.F.
1.BOUNDARY AND TOPOGRAPHIC INFORMATION TAKEN FROM PLANS ,
ENTITLED"VINTAGE HILI.S",SOUTH WINDSOR.CONNECTICUT I 1 LOOS1
AC.
PREPARED FOR JACQUES CONSTRUCTION.I.I.C.BY DESIGN PROFESSIONALS, I i
INC.DATED 12-03-01 REV.7-16-OZ SHEETS 8-11.
SURVEY NOTES
1. THIS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE WITH SECTIONS 20-300b-1 THRU 20-3006-20
OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES-"STANDARDS FOR SURVEYS AND MAPS IN THE STATE
OF CONNECTICUT,PREPARED AND ADOPTED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS,INC.SEPTEMBER 26.1996.
TYPE OF SURVEY IS AN IMPROVEMENT LOCATION SURVEY-RECORD-AND IS INTENDED TO DEPICT 7HE LOCATION OF
IMPROVEMENTS RELATIVE TO PROPERTY UNES. -
♦THIS IS A DEPENDENT RESURVEY BASED ON MAP REFERENCE/1. -
♦HORIZONTAL ACCURACY MEETS CLASS A-2 STANDARDS AND VERTICAL ACCURACY MEETS CLASS T-2 STANDARDS.
TO THE BEST OF MY KNOWLEDGE AND BELIEF,THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON.
12327
LAWREINCE R.GEISSLER,JR. uQ Na -
Tel. 860.291.8755
I.UNLESS 07NERWLRE NOTm,EXISTING UTILITY REVISIONS Fax 860.291.8757 Prepared For. - SHEET
LOCATIONS NF RMATI ARE BASED EXISTING N GRAPHIGC SCALE ��. RAMOVENENT
2.ALL UTI INFORMATION.ALL TAKER THE FIE � - VINTAGE HILL M A M4 LLC LOCATION PLAN 1
SHOULD BE FIELD VERIFIED PRIOR TO CONSTRUCTION, 40
2.ALL UTIU7�S ARE TO BE STAKED IN THE FIELD
BY A LICENSED LAND SURVEYOR PRIOR TO
3. HIS PLAN
N. civil ansinaars planners surv*yore 466 Barber Hill Road aYd11N e>: ,vrcN JW A0:14SV OF
IMPRESSION
THIS PLAN L4 INVALID UNLESS IT BEARS 711E 1 10/5/07 UPDATE FINISHED ASBUILT MHA iandscapo architects • gin • lips 1
IMPRESSION SEAL AND ORICINAL SIGNATURE�R�IR. NO. DATE DESCRIP77ON BY 1 inCh = 40 ft• gOUTN WINDSOR, CONNECMUT cWm er. tAri o,N ap/bII
OF THE PROFESSIONAL ENCMIEER
J