The URL can be used to link to this page

Home My WebLink AboutSeptic Repair 00 Long Hill Road (2) Ci ot"n of 011n#4 10inbsor Department of Pollution Control SOUTH WINDSOR, CONNECTICUT` DRAIN LAYER'S PERMIT AppMplica/tion jfoor Permit to Install or Repair Individual Sewage Disposal System 01 FeePaid $..................................X ........�.................................................................................................................................. Permit No. .. .��...to..... Date ...........�.. .;.�.4...-.7... .................... Pursuant to written applicawti�n, permission is hereby granted to the Licensed Drain Layer named herein for repair ......... or construction ]�... of an individual sewage disposal system concerning which the following information is submitted: �/U''//7 �" II 1. Owner of Property ...........................�.....�.�....�.........�.�.1.... .�.�..� Address of Owner ........................................... ....� ...1..... .... 2. Location of Property .................... ......................................................................................................................................................:......... ... Lot No. .............................. 3. Type of Structure ........:...................,1 ►.lA �/1 ............................................................................................................................. . .............:.............................................. (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons to Occupy Premises ................................................................................................................................................................ 5. Number of Bedrooms ...................J3......................... 6. Average Daily Flow ................................................... Manufacturer and 7. Liquid Capacity of Septic Tank ........1. 50.....,. s.. ........ Mj�terial of Septic Tank ......................................Cc�nC............................ 8. Soil Conditions: Type of Soil ........................................4,?. tf�.i1........................................................................................................................................................ (Sand, Gravel, Clay, etc.) Maximumground water table .............................................................................................................................................................................. 9. If not served by public water supply: Distance from Owner's well ...........T1�.................................................. From adjacent wells ............................................................................................. 10. Distance to nearest water course, drainage ditch, storm ain or mpan .e t ..................................................................................... 11. Percolation Tests: Time for 1" drop in soil test ..................... ........ ..,/ ......... � .......................................................................... Classification of soil .......................................................'.`. 12. Minimum square feet of effective seepage area required .........................xJ�.................................................. . ... ................................................ . 13. Leaching System: Number of trenches ...............� g Width .......,,.i..................................... ............................. Length ........�,��...�.................. Total ............ ................................. Other ............................................................................................................................................I............................ 14. Plot Plan Attached. ...... ...0. ......................................... 15. Layout Approved. ............ ... ......................................... 16. This permit expires ................................................................................................................... Signature . ... . :: � '............. . t :.-� k� .., ..................................................... (Licensed Drain Layer) Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances .................................... `..5.-.77.................................................... 19.................. By ........ ....G... ... ......:..... ................,.................... PollutionProblem abated Date ................................:............................................. ... ................................ ............................ ........... . ..........�, s................._............... Ingpecto R .• COL!DMO S 1. This permit 3s issued under the express condition that every person acting under the same shall conform to the representations and conditions of the application therefor and shall conform to and be governed by the ordinances and regulations pertaining to individual sewage disposal systems of the Town of South Windsor including amendments, thereto, and all other pertinent laws, resolutions, ordinances, rules, and regulations of the Town of South Windsor and/or its Sewer Commission, 2. This permit may be revoked at any time. 3. This permit shall be maintained at the site of any work being done under its authority and shall be shown upon request of any authorized person. 4. This permit does not authorize the doing of any acts in, upon or to private property without the consent of the owner.thereof. The duty of obtaining such consent and complying with the conditions thereof rests solely on the drain layer and those for whom he acts. 5. This permit does not authorize any excavation in any public street, highway or grounds, or doing any work therein or the placing of any obstruction therein. Specific permission for such shall be obtained from the proper official having charge thereof. 8. The Town of South Windsor and its agents assume no responsibility that any repre- sentations in the application for this permit were correct and assume no responsibility for any information furnished or not furnished. 7. At least two hours notice must be given to the Superintendent of the Sewer Department before such Inspector is needed on the work. In general, Inspectors will be available between the hours of 8:30 a.m. to 4:30 p.m. on Mondays to Fridays inclusive. 8. The Drain Layer agrees that he shall at all times indemnify and save harmless the Town and its officers, agents and servants, on account of any and all claims, damages, losses, litigation, expenses counsel fees and compensation arising out of inuries (including death) sustained by, or alleged to have been sustained by the servants, employees or agents of the Town, or of the Drain Layer, any contractors employed by him or any subcon- tractor or material men, and from injuries (including death) sustained by or alleged to have been sustained by the public, any or all persons on or near the work, or by any other person or property, real or personal (including property of the Town), caused in whole or in part by the acts or omission of the Drain Layer, and any contractor employed by him or any subcontractor or material man or anyone directly or indirectly employed by them or any of them while engaged in the performance of any work covered by this permit and during any maintenance period specified in the aforementioned ordinance. y �j I 011 ale F r �. t - ___ _ _ _ � - 711 ICCI vc- l� So '2, h NZ h 141 NOTES SOUTH WINDSOR POLLUTION CONTROL r� y LOCATION OWNER p�lj /mil TYPE OF WORK G DATE —2 —77 PZRmIT PIPE " Gt/ INSTALLER INSPECTOR _,_„DRAWN! Jr � 4 t i� i `�� • �.."�; ,�� is�F RA`n ,�`-. t °L A ,D�tGsr r793 a 1 ALE� `ATFtELP tj s 1 i �r vw) Atit' f'AipY ' � r 61: SEGTfC SYaV ; i 136 �3? el r t' ,,AAA ;r p �n �)�)1=�E4 i `t ,u.�/',�il�i2 t 21t� s1 opin TEST 1 .3 h f 0 ?-ata S t a�Ed1C( 37 SF 1. nzK /AREA 1 � as -F - 3' w•in C �► vI.Ki. ° i�ia�° } �# c �}S 1 eaCic� .GAo. SE P'T T� � . i f Department of Pollution Control SOUTH WINDSOR, CONNECTICUT DRAIN LAYER'S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System FeePaid $.. .G.a..0 ..... �G ... ........................................................ Permit No. .. l.. ......................................�................... Date ...... '.�,�...........1............ Pursuant to written applicatio permission is hereby granted to the Licensed Drain Layer named herein for repair ......... or construction of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Property .......&Ai-I;.1 j7........Me��.............. Address of Owner ................................................................................................... 2. Location of Property 01.1/.,(�........�,� 'L............ .. Lot No. .............................. p rty ................................... ........................................................................ 3. Type of Structure ............................949- 1�'..ixs .TIM................................................................................................................................................................. (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons to Occupy Premises .............. ..................................................................................................... 5. Number of Bedrooms ............. .............................. 6. Average Daily Flow ................................................... Manufacturer and 7. Liquid Capacity of Septic Tank ........................................................ Material of Septic Tank .......................................................................................... 8. Soil Conditions: Type of Soil ............................... ....................................................................................................................................................... (Sand, Gravel, Clay, etc.) Maximumground water table .............................................................................................................................................................................. 9. If not served by public water supply: Distance from Owner's well ........................................................................ Fromadjacent wells ............................................................................................. 10. Distance to nearest water course, drainage ditch, storm drain or embankment ....................................................................................... 11. Percolation Tests: Time for 1" drop in soil test ...................L.Q......►n.►vlvieS................................................................................................ .............. Classificationof soil ................... .......................................................................................................................................................................... 12. Minimum square feet of effective seepage area required ................F04P..................�................................................................................................. 13. Leaching System: Number of trenches ............... .......................... Length ............... .5.............................. Width ................................................... Total ............. ................................ Other ......................................................................................................................................................................... 14. Plot Plan Attached. . .. . ............................. 15. Layout Approved. ......`��>. ............................................ 16. This permit expires ................................................................................................................... V Signature /"tcea .. .. .. ....... .............. ..................... ed rain Layer) Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances ....................................................... ......... .......................�/................... 19.. ... By ............ ...... ......... ................... PollutionProblem abated Date ................................:.....................I.............I......... ............................................................................................................................................ Inspector CONDITIONS I. This ermit is issued under the express condition that every person acting under the same shall conform to the representations and conditions of the application therefor and shall conform to and be governed by the ordinances and regulations pertaining to individual sewage disposal systems of the Town of South Windsor including amendments, thereto, and all other pertinent laws, resolutions, ordinances, males, and regulations of the Town of South Windsor and/or its Sewer Commission, 2. This permit may be revoked at any time. 3. This permit shall be maintained at the site of any work being done under its authority and shall be shown upon request of any authorized person. 4. This permit does not authorize the doing of any acts in, upon or to private property without the consent of the owner thereof. The duty of obtaining such consent and complying with the conditions thereof rests solely on the drain layer and those for whom he acts. 5. This permit does not authorize any excavation in any public street, highway or grounds, or doing any work therein or the placing of any obstruction therein. Specific permission for such shall be obtained from the proper official having charge thereof. S. The Town of South Windsor and its agents assume no responsibility that any repre- sentations in the application for this permit were correct and assume no responsibility for any information furnished or not furnished. 7. At least two hours notice must be given to the Superintendent of the Sewer Department before such Inspector is needed on the work. In general, Inspectors will be available between the hours of 8:30 a.m. to 4:30 p.m. on Mondays to Fridays inclusive. 8. The Drain Layer agrees that he shall at all times indemnify and save harmless the Town and its officers, agents and servants, on account of any and all claims, damages, losses, litigation, expenses counsel fees and compensation arising out of i furies (including death) sustained by, or alleged to have been sustained by the servants, emg oyees or agents Of the Town, or of the Drain Layer, any contractors employed by him or any subcon- tractor or material men, and from injuries (including death) sustained by or alleged to have been sustained by the public, any or all seasons on or near the work, or by any other person or property, real or personal (including property of the Town), caused in whole or in part by the acts or omission of the Drain Layer, and any contractor employed by him or any subcontractor or material man or anyone directly or indirectly employyed by them or any of them while engaged in the performance of any work covered tay this permit and during any maintenance period specified in the aforementioned ordinance. 126 I 128 FOV ntilding x'�O�er� 124 122 o g3' -35it W /�s. Only �5 34 M.S. _� ��-gyp PAULINE GILBERT40 y - 930 �4d=. 0---124 4p a 122 16RotM f�It ',L,- 3 to PAULINE GILBERT VY k A r DEEP TEST LO Z \ \ \ 3 0'- s" LOAM N ` E'-70i1 SANDY CLAY t U rr \ \\\ \ \ \ -p v owe 36"(11/rs) of i PERC TEST ui 0 IN 20 MIN \\�� 0 REO D 1250 GAL.TANK . �'-' \ \DEEP TES pi g00 So LEAdNINd cy,.. ' \\ \\E �TE-T In FL 121 124 �` PAU L R. 81 MO GAL,SEPTIC TANK tt PI. JEANNETTE M! 1 -2 2' Iso ID MAILLOUX II M �Izs a / } INa c 24' - v 5q' UI I tl N 24' I I 12 I `0 I b ' 'f0 PLEASEN WELIAh/ I c I \Z NM /02-+J21pS, le I huh/ �S 0-ADD ,'O y Property of GF21ALD MASSO;'J Long Hill Road, South Windsor, Conn. EM I L W . LUCEK ASSOCIATES` NO. REVISIONS DATE SCALi 1t1= 01 : DATE 7/29/77 CONSULTING ENGINEERS 5 OAKLAND ROAD DRAWN AVH CHECKED EML SOUTH W'INDSOR, CONIC 203-644-2802 76-94 PROJEC SHEET CERTIFIED SUBSTANTIALLY CORRECT DEGREE OF UR CY - EMANUEL W. LUCEK CQNN. REG. LAND. SURVEYOR Z` 4. .t 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 Date Permit Number Asna su(bsurface sewage disposal systems installer licensed in the State of Connecticut, I yfvG�a�C1 )D �rf1Dj ��2 �Odla..r a& 6,t-'1'f4-- 2 /.3 /O (o f Name, Address, Telephone Number, License Number hereby apply for a permit to construct/repair a subsurface sewage disposal system located at Lo�iv t-4,# �& S r„/i-11 s,,- and owned by Ma ..-/ C1. f 7/,*— Street, Address, Lot Number Name Address Information to be supplied by Applicant: Type of dwelling It-(- If non-residential, estimated daily flow Residential,Commercial,Etc. Number of bedrooms 3 lef? Size of lot Number of fixtures above basement Tubs,Sinks,Toilets,Etc. Number of fixtures in basement, if any , _ Pumpe or gravity flow, Type of water supply ��:i,� f If private,type of well 1 0 �r .�s T& - Public-Private Information to be supplied by Health Department: Soil type at various levels PP— Blur- iorew 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 by �" l6&( Dates &ignaturM7 Applicant&License Number ForOffice Use Only Permit issued by Date System installed by Final Inspection Approval Date