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HomeMy WebLinkAboutSeptic Repair 261 Main Street TOWN OF SOUTH WINDSOR LTH DEPARTMENT Application for permit to install a n repair ubsurface sewage disposal system. To the Health Department, Town of South Windsor. Fee Paid 296 Date �/��qq Permit Number As subsurface s wage disposal system inst Iler licensed in the State of Connecticut, I r ke-,& 0 r V 4/oolap► &23 2P/3 Name, Address, Telephone Number, License Number hereby apply for a permit to construct/repair a subsurface sewage disposal system located at 2 Cv f Hcs'n 9t S t,%/ and owned by �✓. 7�"I�� Co s/ Street, Address, Lot Numbey Name gg Address Information to be supplied by Applicant: Type of dwelling !'S If non-residential, estimated daily flow Residential,Commercial,Etc. Number of bedrooms 1 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 �f�, . If private,type of well Public-Private Information to be supplied by Health Department: Soil type at various levels Percolation rate /— r . Square feet of effective leaching area required 660 Size of septic tank 12 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 0Date Si n ure nt ense Number For Office Use Only Permit issued by Date System installed by �n Final Inspection Approval Date 0 pp N/F HART, BERNARD J. 520'17'23'W - 112..0 00' .. RESERVE -ply T ... • i RESERVE _ 70 3 : .50' R.Y. 31 25L.F. ; N� b, tNV-30.0- a ' , ` ' 1.31.25 L.F.. 1NV-30.0 tNV-30.0 50 Of. � N Z N W ZA Ri (n i 34' ... FF-37.5 22 CA TOW-36.5 28' � 9SMNT. FLOOR-29,0 N 28' GAR-35.5 I Flu 22' 3.5' 12' 4 (o g PORCH - 35 `!r I 50 F.Y. o N o� 3Acc I N� Ln Engineered Systems-Pump Systems-Our Specialty / ---- Septic Tanks Vacuum Cleaned u Light Excavating Portable Toilets iva✓ 7 5 �o lr-YT PIPPIN & SON SEPTIC SERVICE 9,5�' 37 Woolam Road / Vo L,�/P f�_/7—✓y T' WAREHOUSE POINT,CT.06088 V d s .3/d5-(860)623-2313- • (860)875-7472 C,o Goo L/ I C 36-9 66 - a913' P 13, 37,0 y2.b � . 'moo, o -26 f'/= 30, 56(/L ILI � d � I I � ' -6 � o I' i � Engineered Systems-Pump Systems-Our-Specialty _ n S Septic Tanks Vacuum Cleaned u oC Light Excavating Portable Toilets PEPPIN & SON SEPTIC SERVICE I ll cl w 5 �S 37 Woolam Road i- l r- WAREHOUSE POINT,CT.06088 V, o ut �h- 'k-1 ��'T f 3/J91860)623-2313 • (860)875-7472 Lo 600 © -- 3 7.0 t L 2.b CT 14 -q �. •ao o .26 30, oo" r\- << .s f- S" Post-it®Fax Note To 7671 Dat- LCo./Dept. F. —�\ ��� Phone# Fax# O i� � G- / 1 Engineered Systems-Pump Systems-Our-Specialty Septic Tanks Vacuum Cleaned S o �'� Light Excavating Portable Toilets �''/ /�Q 0-,S, PIPPIN & SON SEPTIC SERVICE 37 Woolam Road f ` how S/�, . f l�.tiT f WAREHOUSE POINT,CT.06088 V' -- .3/;i-(860)623-2313 - (860)875-7472 Cr �0 • �C = 3c. 7 L F� y.2.b CT 0 14 /7/- so,q eve, //3 , 7 x D JQ t s 7— .� � � � z a�� t ✓1n a � � � o