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Home My WebLink AboutSeptic New 51 Green Lane TOWN OF SOUTH WINDSOR HEALTH DEPARTMENT Application for permit to install a ew/repair subsurface sewage disposal system. To the Health Department, Town of South Windsor. 9oC'o C� o 9qo Fee Paid _T, nr T„4.3l Date 2^/3°0/ Permit Number As a subsurface sewage disposal system installer licensed in the State of Connecticut, I Kr,��r Cv1L a►L /�"O N.'I/,�� J,�R�,- Jj ��►n W-701 J^d°`I` Name, Address, Telephone Number, License Number hereby apply for a permit to construct/repair a subsurface sewage disposal system located at Jfl G^tcA Ha4t L t �-A(o andowned by 7 eek--s k,' Street, Address, Lot Number Name Address Information to be supplied by Applicant: Type of dwelling I . If non-residential, estimated daily flow Residential,Commercial,Etc. Number of bedrooms q 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 �v�Its 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 groundwater 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 ` J 1 71 Date 2113101 Signature of Applicant&License Number For Office Use Only Permit issued by Date System installed by Final Inspection Approval r Date 2-13-)CY ro W t ,.L Aiii z., -?aq 47, E �•.,:\ t •.,` It 1571 ,386 sq. ft.. �\ .95 ac. DECK T PARCEL ZONED RURAL RESIDENTIAL W. ` Ii wis MAP Is DEPENDENT ON THE MAP ITFFETTENCED HEREON. TOW: 164.85FF: 166.08 h / 1 UTILITY LOCATIONS AND INVERT ELEVATIONS TAKEN FROM AN 2 9• / INSPECTION RFPW PROVIm BY THE CONTRACTOR 4.ALL ITEMS DEPICTED ON n•S PLAN HAVE BEEN VERIFIED IN THE FEED AS TO LOCATION ELEVATION AND COMPLETENESS 2 Dr. 7. 4. 4 !7 MA PAD R - Ton-23.2q 55. / 1 4 T (s \ � \ J\2g, EASEMENT REFERENCE NOTE: �� S 9 'k IT aAp MENT BOUNDARY INFORMATION ARE TAKEN FROM PLANS ENTITLED 'EVERGREEN ESTATES", SOUTH VANDSOR, CONNECTICUT PREPARED FOR HORSESHOE LANE ASSOCIATES, LLC, BY DESIGN PROFESSIONALS, \. // 7sr INC DATED JULY 14, 2000 REV- TO OCT 18, 2000 , SHEETS 4-12. \ �O �'0. TFpS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE WITH SECTIONS DS FOR b-1 SURVEYS AND MAPS IN OF THE REGULATIONS OF CONNECTICUT STATE AGENgES - 'MINIMUM STANDARDS FOR SIATVEY$AND MAPS NJ j THE STATE OF CONNECTICUT-AS ENDORSED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS, INC. - /IT IS AN INDEPENDENT RESURVEY CONFORMING TO HORIZONTAL ACCURACY CLASS A-2 AND VERTICAL \ / ACCURACY CLASS T-2. \ TO THE BEST OF MY KNOWLEDGE AND BELIEF, THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON. 12802 RICHARD - tJC. No. - - - I.UNLESS 07HIERWIX NOTED,DCSTTNB UTILITY REVISIONS 860 291-8755 LOCATIONS AS SHOWN ARE SAM ON GRAPHIC SCALE � � DEPENDENT RESURVEY PREPARED FOR. AVALABLE INFORMATION.ALL D037M UTILITIES OC SHOULD BE nm VEIWIED PRIOR TO CONSTRUCTION. - 40 O 2A -4o eSigtl L � ALL UDUTIEB ARE TD STAKED IN THE FIELD BY-A LIMBED LAND RLAtVEYOR PRIOR TO rofesslonals, Inc. EVERGREEN .ES TA TM RECM "-r1loI 1 ''�pTT �q /'� T��} * ♦�'� KPLAiN i6 NVAELS UNLESS 17 BEARS TF1E l.t 1`io• 6 ~ 51 GREEN LANE MM 9k Aw Jw ma: tA73-Q- IL1PRE36NON]EAL AND OR19NAL�f�{ATl1RE 1 Il1C}T = 40 feet civil engineers • planners • surveyors - a TER PROiES9pNAt ENGBIEER/StNRVElR7R- N0. DATE DESCRIPTION BY 165 south satellite rood, south Windsor, Connecticut 06074 SOUTH WINDSOR CONNECTICUT 1PY' .A '.�.- . -.$'R.+. .+,.� 'VAS• - - ., 41 x r 158.5 � \ Ow f f S,z`�`` �\ Nr 41'14-e, �I I - ,386 sq. ft., .95 ac. a GEac Ov 2 1 PARCEL ZONED RURAL RESIDENTIAL RR. TOW 164.85 i THIS MAP K DFPENODrT ON THE MAP IKn]IOKZO HEREON. FF T 66.08 1 U71UTY LOCATIONS AND INVERT ELEVATIONS TAKEN FROM AN 2.9' / IN SPEC"REPORT PRONMOED BY THE CONTRACTOR Q ' ♦.ALL ITEMS OFPICTED ON THIS PLAN NAVE BEEN VERII INTHE FED AS TO LOCATION ELEVA71ON AND COMRETU/ESS I 2.0 - t64.16 Al 05 Y(ryp ` / / - /Z ,�4 O TRA R PAD Ton=23.24 -55. \ / RH0.00 3 \. 14 EASEMENT REFERENCE NOTE: � v9 BOUNDARY INFORMATION ARE TAKEN FROM PLANS ENTITLED "EVERGREEN ESTATES", SOUTH 7MNDSOR, CONNECTICUT PREPARED FOR HORSESHOE LANE ASSOCIATES, LLC, BY DESIGN PROFESSIONALS, INC. DATED JULY 14, 2000 REV TO OCT, 18, 2000 , SHEETS 4-12. IRIS SURVEY AND MM HAS BEEN PREPARED IN ACCORDANCE WITH SECTIONS 20-300b-I THRU 20-300b-20 OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES- *MINIMUM STANDARDS FOR SURVEYS AND MAPS IN j THE STATE OF CONIECTICI1r AS ENDORSED BY THE CONNECTICUT ASSOCIATWN OF LAND SURVEYORS, INC. IT K AN NOPENOENT RESURVEY CONFORMING TO HORIZONTAL ACCURACY CLASS A-2 AND VERTICAL ACCURACY CLASS T-2. \ TO THE BEST OF MY KNOWLEDGE AND BE EF, THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON. 12882 - RIONARD UC. No. - - I.UNLESS O"mm"Dim.ENST"UTILITY REVISIONS GRAPHIC SCALE (BOO) 291-8755 pE�HD� RE3UNVEif PREIANED mowsownSHEET LOCATIAVAILABLE AS!/0'TI ARE L SEDDU ON I I AIL UTI VIES AREI N.TO ALL STAKED UTILITIES � � 20 � e EVERGREEN MTA TFI.s' MMM � 1 ��PR,� ro� ofealonals, Inc. SHOULD ALL U7 nETL ARE W BE STAKED N THE feLD -. AS WY A LXXMSEO LAND BUt%I PRIOR tD 'l km NwMn UNLIWW IT WEARS 7qE Lot No. 6 - 51 GREEN LANE •01 ACS .a.Aa: wj-9 °� &P"C M VEAL 00 ORIGINAL�. 1 inch = 40 feet civil engineers • planners • surveyors - a M PROFEBOONAL EMONM NO. DATE DESCRIP71ON BY 165 South satellite rood, south windsor. Connecticut 06074 SOUTH WiNDSON {/( .. ,