HomeMy WebLinkAboutSeptic New 325 Ellington Road TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENIT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 16we
TO THE BUILDING DEPARTMENT: Date. 19 -
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information Ft
bmitted:
1. Owner of Proper s t •r� Address of Owner,
2. Location of Prop Lot. No.
3. Type of Structure No. of Bedrooms 1
W (Dwelli ,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets c Urinals 6 Lavatories 14 o2 Bathtubs
Showers_ Kitchen Sinks I Laundry TTubs__ Garbage Grinder_ Other
6. Liquid Capacity of Septic Tank TMaterial of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
(Saffid,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well <� / from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test /, Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches_ Length D'D Width Total 444V
Other �J
Signature
censed Installer)
(Sketch showing all minimum distances and other details required below)
O
Ga L
7`�OUS�
f
Permit Issued 19 By
• f
Installation Completed, Inspected and Approved 19 By
a
l
0
� I
Z� J
moo ' 1
i
� U1
?10T PLAN -FOR y '
BERTUM E. HSGGIN ,
$GUSH WINDSOR, CONN.
wale 1 "-40 July 18 ,1963 Qy ,
}
• Sept'
ty
hs +� 144 .
a
tit
aR
' o i
d F}-Y•
x'
s
n
w y
t y {
E � z
rob. Oil
a
-1 , f x t
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install o Repai Individual Sewage Disposal System _
Applica n No. J
TO THE BUILDING DEPARTMENT: Date 19 ,jam
A permit is requested for repair or construction of an individual sewage 1411sposal system concerning which the
following information is submitted:
1. Owner of Property Address of Owner
2. Location of Property Lot. No.
3. Type of Structure y`Y''3"�� No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank A Material of Septic Tank
7. Soil Conditions: Type of Soil ✓��..-�Li Maximum ground water table
(Sand, ravel,Clay,etc.)
f
8. If not served by public water supply: Distance from Owner's well from adjacent wells Oq"
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil _
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches_�� Length 42 Width_/ Total
Other
Signature a&
(Licensed Install r)
(Sketch showing all minimum distances and other details required below)
a�
J ¢
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
AvP�y o'^
� yL
1 VVJJ
_ V
nr�^'
p -i3ori
td �'Jt
Ft�i�s
�Z Sb �u.� �a.�►�c ti Y' -
NOES h DT f'7 rC /fie SOUTH WINDSOR HEALTH DEPARTMENT
uX LOCATION 2 ' !I 1 0�
OWNER
TYPE OF WORK "PhttO *aW &ti
DATE /b-Q' PERMIT PIPE
INSTALLER ram-
INSPECTOR R BY
Set) by :TOWN SIDUTH WINDSOR Rua-1=47-98 01 :07pm
from 8605347240860 52$ 969,3.„_•_._._._.
� P..a9a
W L L
E CE. PT I' QN RE � t7L �►
To: �
bN S TE 5LMAGE DxSPOSz SECT C T
DEPT. t7�' PiJSLTC I ►T,'�Ix &150 WASH •�UnI`GTxt7N ;3E,RyZs
T.NGTON STREET
HART-10AD, CT 06106
r
r '
D�lU�
OWNER;
hbb?mS
REPAIR �� Nam` SYSTMI
PZRC Purim
TOWN: o � TMN I
OF BFZF
""PT100 FOR INSTALLATTOu op, T OR
WELLS AFFECTED! QWNEag ONZ,y
AF?*ECTEQ P�iOP 2r�r
Tx'' ,PPZ 7 LE) LOT No.CAR ALDDREMS TYPE i�l'STAX V OF WML TO,.
WELL N
PROPRRTY !1✓1 u
xT + i nL �}
AD,?AC SOP.
R l E
xrhT LG*M MOP,
�T
�CSlV7' PROF
15 S ys= To KML(s)
HAS A3'itiLY2Em REC�Y FGn
"UTANT37
pt)X "FED
Szbsx e�N�T ! TO YEAR RovIM USE QR SINCE E 1977?
ENCLUSUREII _
1
-1
#Leal-,
I
WELL EXCEPT IbN ItEQLIES T
To: Department of Environmental ProteLtion PATE: August 19, 1998
ON—SI'Z'E SEWAGE DISPOSAL SECTION
DEPT. or PUBLIC HEALTH & ADDI=XON SERVICES
150 WASHINGTON STREET
HARTFORD, CT 06106
FROM., Violette Silvester & Sons, Inc. TELEPHONE;t 860-289-3466
65 Cherry Street
OWNER: James Singleton REPAIR XX N= SYSTEM
ADDRESS t 325 Ellington Road PERC FASTrR TH" I KIN/INCH
TOWN; South Windsor, CT No- OF BWROOMS 4 .„`,,
OR, DESIGN FWW
EXCEPTION FOR INSTALLATION OF ,T TANX & SYSTEM XX SYSTEM
WELLS AFFECT90: OWNERS ONLY XX,,,,,_NEIGHBORS ONLy____ I, QTIi,
ArFECTFM PROPERTY LOT NO TYKE DISTANCE OF WELL TO
(I3' APPLICABLE) OR I DDRr3$ WELLsulirM
N
PROPERpmXTTY 325 Ellington Rd. South Dug
I
AWACE" MOP.
ADJACENT PROP
RIGHT I
AwAcm= PROP.
---T7T
AWACL''NZ' PROP.
IS REPLACZm= SYSTEM CLOSER TO WELL(S) THM =ISTING SYSTEM?
HAS THE W=L(S) B09H ANALYZED RLcEI,1TLY Foll POLLUTANTS? � O - —
PLAN PWAM By,.. PROF.ENO:—�, 1213TALLZR: —
BUILDING BEZN CDM'E:RTED To YEAR Ro= VSE ORENTARG= SINCE I9777 NNO
COMXENTS:
y
Ails
0
Y�
ENCLOSURE:
sicETcx/PLAN C c i o Ile UC S '
szcxr.Tlm
t
i
�i"
i
�I
i
i
i
lV(1`�
���1.d
I
I
I
�2�
i
� --�_ ��.
/,�I� I 1
��,�
,\
,��. '
o.
' I +I
t0
i
i;
• r
vl?o\.1
EXIST.
GARAGE Q.
c,� Q 131•ING I' 1I?(
2A 1 rO IW
1 1fI:I�1:131 !
o PARCEL y�
PARCEL
AS 1111"\1)I I
````oCON�NF'''
` ,�t`o.PRp. F j` y�
°
. Q..G,z, , ;,.
f
��► '=_7�i - 0
-d No. 12330 _
�a ����ENsEa••p<a
85 EXIST
p HOUSE
35' B.L. :
• fQ EXIST:
SPLIT RAIL FENCE
i o
c!pp` 6/O
4s _� NO. 325
ilai ,��i• '!r, r '!"
I''RO:tiT YARD f)I' Il'k)l 51: IS NO:�'CO:ti .L IING TO 1)RVSEN7' 7,0NINC
\ 2 Hl,"GULAT'IONS.
L BE'ING Pi1RCE1., C C !:N A M,1P EN'1'1'fI,1 n �IFI`ROPEIZ'1'�` f)F' E3EFdT'RA,b1 E.
k HIGGINS SOUTH JiT.N, )SOR, C'ONN. SC 1I !~t: l" 40' 1)EC. 1972 REDRAWN
TO 40' SCAM-l' nf•C.� `1972 ORIG. I" - 50' ( i I. 1J71 S►lF:L'1' V.
1 H1 RI:BY, CEzR'1IF}' '1 FIAT THIS MAP AN[J' UI�VE:Y GIrERIs' PREPARI:I)
I:ti ,1C'CC�R1)ANCI' I�,'.IT1I THE STANDARDS':(OF A CLASS A72 SURVEY
PARCEL gas n[:r'I;tit:n IN I'll co1)E' 0 PI?ACTICL; J�OR STANDARDS 01' ,AX
j a u . 4itiTirlE 3K» � 1.rti1) MAPS, AnO[�J, FU n1:'CT*,'MBER 10,, f'�75
i 4 �vI Y f
t9 D AS AMEN'DEl) 81" TwJl CON.�r C �v�it [;r'iTIf3E+� C�� i—�` '��
ORS INC 'j
{ 1NNItt1111Orry
p\ 1111 � f �i�t/y'J� w♦ '�
r. �..`` ,,...... ,. 'i R1C1 r1EZn YIEEF[AN L.S. 1233p Lek
! z
81
'`. •q: i
M� OI 80
g N12330
n � r
60
y0 !d
SURD , j Q; 100
4g41uulmpala\\
'
,
4:
MEEHAN
351 B.L: r BOUD :
P;", ,ineer,-;SiArveyor
�.
sr►�
_• _-- Consulting s, PC,
jj
387 North hlallij: Street Manchester, CT 96046
f PLAN PREPARED . FOR
EXIST;
SPLIT RAIL FENCE ROBERT WALDRON
f SOUTH
i; 6/
°':4 N0. '325 EL ROAD ! WINDSOR�CONN, �
I.P. SET — — -- —
f t PLOT E,' PLAN
ll
ROAD
SCALE I 2 0 DRN. J.P. FILE NO. , ! SHEET NO
11 T F i `'n I? _—A4 --- TAn n V aIF
(Ttace Taa <_ owty TOWN OF SOUTH WINDSOR
HEALTH DEPARTMENT
Application for permit to install a new/reair subsurface sewage disposal system. To the Health Department,
Town of SoutWWi dsor.
Fee Paid Date l �/ (� Permit Number
As a Z
bsurface ewage posal syste installer licensed in the State of Connecticut, I
Name, Address, Telephone Number, License Number
here y appl fo ermit o construct/repair a subsurface sewage disposal system located at
and owned by
Street, Address, Lot Number 010, Name
Address
Information to be supplied by Applicant:
Type of dwelling If non-residential, estimated daily flow
Residential,Commercial,Etc.
Number of bedrooms Size of lot
Number of fixtures above basement
Tubs,Sinks,Toilets,Etc.
Number of fixtures in basement, if any ,
Pumped or gravity flow,
Type of water supply If private,type of well
Public-Private
Information to be supplied by Health Department:
Soil type at various levels
Percolation rate Square feet of effective leac 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
I
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.
Permit Received by Date
Signature of Applicant&License N mber
V Qo0 .�,
For Office Use Only
Permit issued by Date
System installed by
Final Inspection Approval �-� - Date
STATE OF CONNECTICUT
DEPARTMENT OF PUBLIC HEALTH VP
NOTICE OF EXCEPTION U
An exception is hereby granted to the requirements of Technical Standards IIA oft,�,�,e dw lam✓`
Regulation 19-13-B 103 of the Public Health Code of the State of Connecticut for the i u plc
well( lay
REPAIR of a subsurface sewage disposal system on the SINGLETON rip 3
PROPERTY- 325 ELLINGTON ROAD in the Town of SOUTH WINDSOR, -� JF*JJ1 T
Connecticut. It has been found that the well located at THE SUBJECT PROPERTY 4 aivvk
is unlikely to be polluted in such a manner as to cause a health hazard,provided:
1. THE REPLACEMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM BE
LOCATED NOT LESS THAN 50 FEET FROM THE EXISTING WELL.
2. THE REPLACEMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM WILL
NOT BE LOCATED ANY CLOSER TO THE EXISTING WELL THAN THE
ORIGINAL SYSTEM.
3. THE REPAIR INSTALLATION SHALL BE INSPECTED AND APPROVED
BY THE SOUTH WINDSOR HEALTH DEPARTMENT.
Recorded at the Department of Public Health, Hartford, Connecticut.
AUGUST 13, 1998
DATE
XA' ur J. C tellazzo
Sanitary Engineer III
Environmental Engineering Section
wellexp.kep
(860) 509-7296
Phone:
ii Telephone Device for the Deaf (860) 509-7191
410 Capitol Avenue - MS# 1SCvJ
P.O. Box 340308 Hartford, CT 06134
An Equal Opportunity Employer
CEN
X
aetti o�
N \ 1 lac
V
T
# 3Z5,
IN
V�
�\ new
fo �sst
1%5'b 4 Y" -
M•! r�'�rr �1
DES n�� ��7 �j"c�.P� SOUTH WINDSOR HEALTH DEPARTMENT
LOCATION 12. ' 911 fbi 40"
OWNER
TYPE OF WORK hto Mofwuti
DATE /6-94r PERMIT PIPE
INSTALLER -rvlL/efY0C
INSPECTOR R DRAWN BY J20
STATE OF CONNECTICUT
DEPARTMENT OF PUBLIC HEALTH
t
NOTICE OF EXCEPTION
An exception is hereby granted to the requirements of Technical Standards IIA of
Regulation 19-13-13 103 of the Public Health Code of the State of Connecticut for the
REPAIR of a subsurface sewage disposal system on the SINGLETON
PROPERTY- 325 ELLINGTON ROAD in the Town of SOUTH WINDSOR,
Connecticut. It has been found that the well located at THE SUBJECT PROPERTY
is unlikely to be polluted in such a manner as to cause a health hazard,provided:
1. THE REPLACEMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM BE
LOCATED NOT LESS THAN 35 FEET FROM THE EXISTING WELL
2. THE REPLACEMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM WILL
NOT BE LOCATED ANY CLOSER TO THE EXISTING WELL THAN THE
ORIGINAL SYSTEM.
3. THE REPAIR INSTALLATION SHALL BE INSPECTED AND APPROVED
BY THE SOUTH WINDSOR HEALTH DEPARTMENT
Recorded at the Department of Public Health, Hartford, Connecticut.
AUGUST 31, 1998
DATE
e�;41 71 46?942
Arthur J.Yastellazzo
Sanitary Engineer III
Environmental Engineering Section
wellexp.kep
(860) 509-7296
Phone:
Telephone Device for the Deaf (860) 509-7191
410 Capitol Avenue - MS# SkSF-h/
P.O. Box 340308 Hartford, CT 06134
An Equal Opportunity Employer