HomeMy WebLinkAboutMisc Correspondence 152 Beelzebub Road South Windsor Health Department
B 100a application
(for building conversion, change of use, building addition, accessory structure and lot line change)
Address of proposed activity street number
�qq Owner Name Address telephone
Iv�t.-0vos i' T �' 152 siee.iz_�Vb Qet / R.a-97S-' S'
Applicant name &address if different from above telephone
Describe the proposed structure or activity with dimensions (e.g. _ "addition with bedrooms, bathroom, family
in ground/below ground pool, deck,winterizing porch)
a� K LI C-)'
Residential )L- Number of existing bedrooms 3
Non-residential Please describe
Property served b on-site well? 0N Property served by public water? Y N
Plot plan-attach a scaled drawing showing property lines and dimensions, location and size of
existing and proposed.structures, and site features such as driveways, wells and septic systems,
drains and water courses.
Building plan-attach a sketch/floor plan of the proposed structure, addition or renovation showing
existing and proposed rooms with door and window,locations.
Soil test data (deep test pits and percolation test) are required for the review of this application.
If the data is not available, you will need to schedule an appointment with the health department.
As property owner or duly authorized representative of the property owner of the above referenced
property, I agree to permit the health department staff to enter the above referenced property as part
of this B 100a application review process. I further agree that this authorization to enter the subject
property may extend through a period of time ending with the final B 100a application-approval-and,
affirm such with my s nature elow.
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Applicant Signature Date /Q. //Q/D!2
OFFICAIL USE ONLY
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Data provided by SBC under contract and is based on an
LEGEND outh Windsor
aerial flight performed in spring of 2005. This ma
152 Beelzebub $ p p g pica ��
#a graphical representation of property information and is
subject to change. The Town of South Windsor and SBC C61
TOWN LINE PARCELS assume no legal responsibility for information depicted on
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this map and is to be used for planning purposes only. � =�E s",.,�.,E E> ,ar.��•�`^����
Oct 27 09 08;49a Exterior Associates Inc 8608758106 p.2
Oct 26 09 02: 04p P. 1
10126/2805 11:13 2033830310 AQUATEK LAB PAGE 01/01
Aquatek labs �/�T
I al Bradley Road-Woadptidge, CT 08525 _e,j / ;.-
water Anal s.s Report
WATER SOURCE: 2 BESI-ZSULB ROAD - SOUTH TREATMENT, WELL INLET PIPEpSOR, CT
DATE: 10/22/2009
TO: SHANS PUMP COMPANY TEST#: D102 2 90 7
20 LYONS STREET
ELLINGTON, CT 06029
BACTERIOLOGICAL EXAMINATION Absent_ X
Total Colifoxms Present_
Fecal Coliforms Present_ Absent x_
RESULT. AL UNITS
PHYSICAL•/CXFXrCAL EXAMINATION
2.7 S. 0 NTU
0
Turbidity 3 15 ---
* Color N D. 2 ---
Odor 10.0 - 6.4 ---
PR 7 —
M9fL+
Calcium 2019 None
Magnesium 3 .8 None mg/L
67 8
Hardness 200 mg/L
Nitrate Nitrogen 1.4 mg/L
Nitrite NitrogenN.D. mg/L
24.3 250.0 rng/L
Sulfate7.7
Z8.0 mg/L
Sodium 1 .
2 5 d-
Chloride 1.56 � mg/cng/L
Copper N.D. 1.30*.
M.D. 0 .30 R►9/L
Iron N.D. 030 mg/L
Manganese
-05
CONCLUSIONS: Based on the above results, this water was safe
for dxinking Purposes at the
time the sample was collected.
Sampled By: Michael Sessette under the direction of AquaEtek Labs.
AL = Advisory Level = EPA KaXiMum enforceable standard awhen valuent Level M ollowedCL) or tbye**-
N.D. = None Defected
* exceeds AL, see attached sheet ,
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✓ = below AL, see attached sheet Ravid M. Graham, Fh-.n.
Laboratory Director
CT License #PH-0466
Woodbridge s Old Saybrook a Glastonbury
Oct 27 09 08;49a Exterior Associates Inc 8608758106 p.1
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