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Home My WebLink AboutSeptic New 2042 John Fitch Boulevard 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. Fee Paid RkA . AtH- Date Permit Number 79—/0 As a subsurface sewage disposal system installer licensed in the State of Connecticut, 1 :) 2 ,) 73e mil/ `f/ ' ?1Z W Name, Address, Telephone Number, License Number hereby apply for a permit to c�onstruct/repair a subsurface sewage disposal system located at '•- �i�J-11 t and owned by /%r C )r'0,4WAe—l' Street, Address, Lot Number Name Address Information to be supplied by Applicant: Type of dwelling a If non-residential, estimated daily flow Residential,Commercial,Etc. Number of bedrooms 3 Size of lot 3/y '9c. Number of fixtures above basement Tubs,Sinks,Toilets,Etc. Number of fixtures in basement, if any , Pumped or gravity flow, Type of water supply dwi Via 41 If private,type of well r l l Pu lic-Private Information to be supplied by Health Department: Soil type at various levels 44 a- Percolation rate < t ir, -I-- . Square feet of effective leaching area required 374L f Size of septic tank /e o Type of system 4re-t-t s Trenches,Drywells,Etc. Number of dry wells, trenches, etc. S Distance between individual leaching units Distance from well on same property on adjoining property Curtain drain required 4 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. 4 Permit Received by 77- Date gnature of Applicant&License umber For Office Use Only Permit issued by Q ® Date System installed by Cou� Final Inspection Approval _ Q - 7)c�� f7a.�ttes (�� __ Date _ —a --2 9 Y— ,1d -Z P 7- Nor - -� - - fY — 1 N E 9s` as' ar as' as' NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION a o W 7-,o E h `M c G S OWNER lc-or 6P, oti TYPE OF WORK w DATE PERMIT — O PIPE INSTALLER oteeh INSPECTOR Ba Z)4vtr.4 DRAWN BY 0 i a il3�t' 7V r/��T A./.SAS MAP ENTITLED 64 WINDSOR ACRES SOUTH WINDSOR, CONN r 1939 LOT 6 66 / LOT 6 LOT T n r in Ih /� �C RATE I-lu All /6� S M� LESS T NA 1,1 VA .% GAt. -IF60 I� ,,ice ctJi.Y--s/uC�Lil� wiry► fAWp TAT--VXXL& 4iF I ti.. C z4p iettroY roll s��` I W C-IkY FF - LiZ %d&MIL :$I"w< AT 4Z" FFF 64 SAR /` 6 iiif� +AY56 'V pM MOLL Lt.l�t AT C -CLAY AT Mat / K -TAT � 4 / tuY AT ` s _rQ5T tiDLA .$ /54 CA-aY AT 4% . 56 EXNT. t� —J [XIST. 500' TO CROW JOHN FITCH BLVD. . FOR BUILDINQ PURPOSES 54 ZONE A:? PROPERTY OF VICTOR ROMAN ' 2042 JOHN FITCH BLVD. SOUTH WINDSOR CONN EMIL W . LUCEK ASSOCIATES NO. -REVISIONS DATE CONSULTING ENGINEERS SCALE I"= 40' BATE 2-27-79 5 OAKLAND ROAD SOUTH WINDSOR, CONN. DRAWN A.V.N. CHECKED E.W.L. 203-644-2474 PROJECT 797221 SHEET CERTIFIED SUBSTANTIALLY CORRECT - DEGREE ,OF :A000RA CT - D PER WINDSOR ACRES" .� LOT S GG � / R �� LOT a LOT T s _GZ 000e 64 i i 6Z i0 eO t t/ M e•:�5s // / � how IriTC K BA 64 MY or MAN SOUTH W1NDSOR. CONN 'MIL W. LUCEK ASSOCIATES NSUL COTING ENS DATE 5 OAKLAND n"q SCALE I~s W DATE 2-27-T! SOUTH wINDSOR, CONN. 203-644.I4T4 SMWN A.Y.N. CHECKED E.w.L. CERTIFIED SUBSTANTIALLY C 'NOJECT Tr-22 SHEET � ' - DE Lr OF A"IWRACL! mu P1I11''OSEt ' a ... . 1 IWAP ENTITL_Eo SOUTH WiNd:SOR, CONN Isis LOT g 66"' / / ` LOT 6 LOT..T 6a al 0 60 1/ FF d N FFF 64 8AR /,ry 86 rm"r ROLE w � 72,q-ram a rim vw .: `'mac• G-�f�� -.-�� <: EXIST ' 500' TO CROW P14RK fWAD-�-1 P -- t r. JOHN FiTO H B VD FOR BUILDING PURPOSES 54 "ZONE _ A-20 PROPERTY OF :VICTOR ROMAN 20 042 JOHN FITCH BLVD. SOUTH, iNINOSt}R, CONN EIVIIL W. LUCEK ASSOC 1ATES NO. REvISIONS DATE CONSULTING ENGINEERS SCALE I"= 400 DATE 2-2T-ft 5 OAKLANO ROAD - smH WINDSOR, CONN. BRAWN A.V.H. CNEtm E.W.I. 203-644-247+i PROJECT T9-22 SHEET CERTIFIED SUBSTANTIALLY 'CORRECT. - DEGREE OF �►C>��'RA ,.o�� ' WIM3M �►cRWor � s �t- w :G..., - os- >:° SIG.: ATENT