HomeMy WebLinkAboutSeptic New 57 Ordway Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date_Q,� 19
A permit is requested for repair or construction of an individual sewage disp 1 system concerning which the
following information is submitted: /
1. Owner of Property t _�'j /�'�' Address of Owner tl' J X_/ti l�r►_b � R
2. Location of Property X Z inj V[d A V Lot. No.
3. Type of Structure_ L °f ( f' AX No. of Bedrooms
(DwIling,Commercial,Building,Store,etc.)
4. Number of Families or Persons to Occupy P-refnises__A 43 4
5. Plumbing Fixtures: Water Closets Urinals _ Lavatories ,. Bathtubs
Showers_ Kitchen Sinks ` Laundry Tubs � Garbage Grinder 6 Other
6. Liquid 'Capacity.of Septic Tank,'Al� ,' Material of Septic Tank C x.ems C ewe P 3(
7. Soil Conditions: Type of Soil >A, ,fir Maximum ground water table
(Band,Gravel,Clay,etc.)
421,6
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8. If not served by public water supply: Distance from Owner's well 'pi from adjacent wells
or `9. Distance to nearest water course, drainage ditch, storm drain or embankment s ,
10. Percolation Tests: Time for 1" drop in soil test &`r W; Classification of soil
11. Mini%um square feet of effective seepage area required W `
12. Leaching System: .Number of trenches Length,,, , Jr, Width Totale
Other
Signature ZY!
tensed nst r)
( etch showing fall minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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TOWN OF SOUTH WINDSOR
LTH DEPARTMENT
Application for permit to install a ne rVal subsurface sewage disposal system. To the Health Department,
Town of South Windsor� �
Fee Paid W� ��"tic���T73 Date �0''L�'P Permit Number
As a subsurface sewage disposal system installer licensed in the State of Connecticut, I
Howard E . Slater 75 Commerce Way South Windsor , CT 528-5252 02-738118
Name, Address, Telephone Number, License Number
hereby apply for a. permit to construct/repair a subsurface sewage disposal system located at
57 Ordway Drive and owned by R. S . K . -Kellco, Inc .
Street, Address, Lot Number Name
1744 Ellington Road South Windsor , CT
Address
Information to be supplied by Applicant:
Type of dwelling residential If non-residential, estimated daily flow
Residential,Commercial,Etc.
Numberof bedrooms four Size of lot 44 , 900 S . F.
Number of fixtures above basement 'T %1 9: ILVF_
Tubs,Sinks,Toilets,Etc.
Number of fixtures in basement, if any none ,
Pumped or gravity flow,
Type of water supply Public 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
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 ,XA���C- /(. 6 6S633 Date 10-/6 �oZ
Signature of Applicant&License Number
For Office Use Only
Permit issued by Date
System installed by F
Final Inspection Approval Q - �—�, Date
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NOTES SOUTH WINDSOR HEALTH DEPARTMENT
LOCATION -) 4)h
OWNER to
TYPE OF WORK L--rL-
DATE 10---3 w2PERMIT PIPE
INSTALLER f e-rr
INSPECTOR DRAWN BY
FROM J&H SLATER CONST. CO. INC. PHONE NO. 860+289+3766 Oct. 23 2002 03:17PM P2
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raso G� •
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NOTES
1.PROPERTY IS IN A-20 ZONE �#4
2.PROPERTY LINE PER DEED CALL -
3.THE*CLOSING UNE'DEPICTED HEREON IS TO GIVE MATHMARCAL I PARCEL A
CLOSURE TO AFFECTED BOUNDARY AND IS NOT TO BE CONSTRUED AS A
PROPERTY/BOUNDARY UNE.
4,Fim.GRAMG NOT COMPLETED. LIMIT OF AREA=546,324t S.F.
DU 5.TOPOGRAPHY NOT DEPICTED E TO EXCESSIVE SNOW AND ICE COVER. - - 80, UP D REVI =12.54t AC.
AREA
MAP REFERENCES \ �'�•
PROPERTY SURVEY-RESURVEY PREPARED FOR RSK-KFIICO.INC. 57 - N
oRDWAY DRIVE SOUTH VINDSOR.CONNECTICUT 1'-40' DATE: 1-5-02 - \ \
REV TO 10-2-02 SHEET 3 OF 6 BY DESIGN PROFESSIONALS.INC. ANORE )� N/F
CHARBONNEA , \
\ ROBERT W.
SKINNER
EXIST. PINE TREES
100 YEAR FLOOD PLAIN
o'
/ 7
\ EXIS ING
% IP
PARCEL A-1
Ig' AREA=44,900t S.F.
=1.0± AC.
will 04 C�P C"� 22�
� \ s G A
\ \ 't° OFF � ..�•
LOT 7
/ W#114 v� / r PLEASANT VIEW
wFos N/F
o JACQUELINE KING
Y.
/ SET 1 ` / UTILITY EASDENT IN
OF 50OT ft.
7.9!p.LR
SN ET Isct°D
---_ i �r•
(39.40•EASEMENT)
SNET EXIIUNG
`�4•• #501
LIMIT OF \ WATER
/ \80' UPLAND REVIEW �\ METER fQ�,� eLo .pFF
AREA N/F
\ �'
LOT #1 ANDREW T. & KAREN M. NT \
ISHERWOOD IN FAYM Or 57 O�MWGAY DRIVE
/ 4745.31:w IL
MIS SURVEY AND MAP RAS.TEEN PREPARED R ACCORDANCE aM SECTKRS 20-WV-t TRU 20-700E-2D
O
OF TTN' V.T A REGUCIIS OF CONECTICUT STATE AGENCIES-"MMUM STANDARDS FOR SURVEYS D MA'S IN
TE STATE OF CpRECTICUT*AS E DORSED TE 0DN ECNCVT ASSOCIATION OF LAD SURVEYORS.INC. O
AND CCIEpIWC TO�-2ND VERTICALACCURACY CLASS T-2
M 6 SIIBSTAxTW1T CCIRECT AS x07ED NIEDEtIL / � 1 �,�� �\
12ee2 1 -
uc #373��
XJWW Afff=T —
Tel. 860.291.8755 DEPENDENT RESURVEY PREPARED FOR: SHEET
1.UNLESS OTHERNISE NOTED.D OSTING UTILITY REVISIONS LOCA71ONS AS SHOV0N ARE BASED ON GRAPHIC SCALE Fax 860.291•8757 ®v 4
AVAILABLE INFORMATION.ALL EASTINO UnuT1ES 40 0 20 40 es'9n
SHWLD BE FIELD VERIFIED PRIOR TO CONSTRUCTION. OfeSSIOnaIS ins. RSK'KELLCO, INC LOCA ►M 1
2 ALL UNUMES ARE TO BE STAKED RA THE FIELD
BY A LICENSED LAND SURVEYOR PRIOR TO ■ 9 r�R T�1R��,,�(q� TAD 7�� OF
CONSTRUCTION. civil engineers •planners • surveyors 57 ORD VO AY JLiR 1 E ONARN 8Y KJY .A�4 NO.:1520
S.THIS PLAN IS INVALID UNLESS I7 BEARS THE 1 inch = 40 feet landscape architects g •gp is a
MES FSE AL ENa EER/SUR 165 South Windsor. Connecticut 0E074
YEYat. NO. DATE DESCRIP710N er p SOUTH WINDSOR, CONNECTiCUT fcxm RrAj o4Ie.• I/v/os ,
Satellite Rood South