HomeMy WebLinkAboutSeptic New 9 Green Lane AVERY CONSTRUCTION, LLC. Q cc,n ;q
64 FIELD ROAD UN
IT IA
SOMERS, CT 06071
i PHONE 860-749-9356
FAX 860-749-1524
AS BUILT FOR 1?CCA1 Z4, DATE
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TOWN OF SOUTH WINDSOR
HEALTH DEPARTMENT
Application for permit to install ne repair subsurface sewage disposal system. To the Health Department,
Town of South Windsor.
Fee Paid 20^ tU gLV Date /� '��`�� Permit Number
As a subsurface sewage disposal system installer licensed in the State of Connecticut, I
v Y
Name, Address, Telephone Number, License Number
hereby apply for a permit to construct/repair a subsurface sewage disposal system located at
r' a/e,Lz''N l-9, "-r / S, lUIJ►�bS�� and owned by -���/ �4'yl✓�
Street, Address, Lot Number Name
- "lam & '-,
Address
Information to be supplied by Applicant:
Type of dwelling A4�' I . If non-residential, estimated daily flow
Residential,Commercial,Etc.
Number of bedrooms ZV Size of lot
Number of fixtures above basement
Tubs,Sinks,Toilets,Etc.
Number of fixtures in basement, if any ,
Pumped or gravity flaw,
Type of water supply P1A5Z_ C 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 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 groundwater ,
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.
Permit Received by 4�racASOd- Date AP e- Oa
Signatur pplicant&iRense Number
For Office Use Only
Permit issued by Date
System installed by
Final Inspection Approval Date
TOWN OF SOUTH WINDSOR
HEALTH DEPARTMENT
Application for permit to install a e �epair subsurface sewage disposal system. To the Health Department,.
Town of South Windsor.
Fee Paid 2-0 — � y / �Date a" g'�a Permit Number
As a subsurface sewage disposal system installer licensed in the State of Connecticut, I
RAO, _a1Y62S C l r o0-S02
Name, Address, Telephone Number, License Number
hereby apply for a permit to construct/repair a subsurface sewage disposal system located at
35' ale"lU ", L`a7" Z/ S'i P//A1OS0'1Z_ and owned by__ N /9B1/1,1�,0'C_,
Street, Address, c Lot Number Name
Address
Information to be supplied by Applicant:
Type of dwelling R.E5. . If non-residential, estimated daily flow
Residential,Commercial,Etc. „y 7 4
Number of bedrooms $/ Size of lot y Gl1 '
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 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.
Permit Received b Oa�S0� Date
.O
Signature pplicant&Lid6se Number
For Office Use Only
Permit issued by Date
System installed by
Final Inspection Approval Date
---WALLETCARP -- _— —
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-02`=627925_= 02502 a �280
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SIGNAFURF = — — —- (FfI Hbl:tt=I.e sat uv.tc tLLLF ltt
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� LOT # 1
TAW
40,011 sq. ft. \ `
0.91 ac.
06 \
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j 91'29 29\ / ` rl&U \ I
\113.0' I / `` W
OD
/
' 11
k LOT # 2
12DO GALLON
%P71C TAW
\ NV130. \ DRYIYELL% ' i I �7s• !
\ ` \3 o\-Rox � •�Y 1 I
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NOTES
1.PARCEL ZONED RURAL RESIDENTIAL RR.
2.THIS YAP 6 DEPENDENT ON 11ff MAP RF3'ERQitfD HEREON.
3.UTTUIY LOCATION BASED ON INFORMATION SUPPLIED BY CONTRACTOR. - - l \ \ , f y� /N fiq - V
4.nNAL ORADM G NOT COMPLETE. Ill
"a wry•1 06 I N N('st 1 SOQ
136
REFERENCE NOTE
BOUNDARY AM TOPOGRAPHIC INFORMATION ARE TAKEN FROM PLANS \ -
f?1TITL.ED•EVERGREEN ESTATES'.SOUTH WINDSOR,CONNEC7ICUL \
PREPARED FOR HORSESHOE LANE ASSOCIATES.LLC,BY DESIGN PROFESSIONALS, CB 4 ` ..a
INC.DATED JULY 14,2D00 REV.TO OCT.14 2000,SHEETS 4-12. TF-128.89 ..
R E C -p3
INVi123.� T, '�cAR1,r. 5 •`:.
= 30'14'19" JAN 1 0 2005
THIS"VEY AND MAP HAS BEEN PREPARED IN ACCORDANCE WITH SECTIONS 20-300D-1 TIM 20-300h-20 R = 1 7*1 4'1 \ �
OF THE REGULATIONS T Ur AS END STATE AGHE CO-CICUT A STANDARDS FOR SD SUVS AND MAPS M
THE STATE M CCNO HORIZONTAL As ENDORSED BY THE A-2 AM
ASSOCIATION C LAND SURVEYORS INC. T = 47.28'
- - -AND CONFORMING ro IrowZH)tNTAI.ACCURACY CLASS A-2 AND VERTICAL ACCURACY CLASS T-2. - - - � -
L = 92.36'
TOIEF THE BEST OF MY KNo BELIEF.THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON SOUTH IiVIiNDSO(W pYNtiING D"I
12M
MaMFIF MARTEL LIC.No.
RECORD AS-BUILT
PLAN PREPARED FOR
/. APOR AS SHOWN
HARKED,BASED
O c UTILITY REVISIONS GRAPHIC SCALE ' (860) 291-8755 Ip ® SHEET
LOCATIONS AS SHORN ARE BASED ON 4a O esign Evergrete .1�8tSte8 d�t�4D®I1
AVAILABLE INFORMATION.ALL EXISTING UTIUM
2.ALL TSHOULD �YES PSTA D N THE FIELD rofessionals, inc.
2.ALL UMIi�S ARE ro DE STAKED M THE FIELD
ffim
BY A LICENSED LAND SURVEYOR PPogt TO �T 1 A /l��� *-` OF�
�i!MIVAiiB L%gl9 If"mm*4 1 /P-13-. AW AWW!mw AAk Civil en in Y Lot NO. I - 7 G"m Lme AMN An' WA .i19 AU:IZ75
HMBRLSSHON SEAL AT OwcINK CATURE 1 Inch = 40 feet eer11 planners - surveyors
of THE PROFESSIONAL ENGINEER/SURVEYOR NO. DATE DESCRIPAON BY 165 south satellite road, south Windsor, Connecticut 060741 SOUTH VANDSOR CONNECTICIJr Arm B1t RPM ZIA Mr I/441W