HomeMy WebLinkAboutSeptic New 18 Vintage Lane TOWN OF SOUTH WINDSOR
LTH DEPARTMENT
Application for permit to install a subsurface sewage disposal system. To the Health Department,
Town of So th Windsor. -
Fee Paid Ce
aw Date a� Permit Number
As a subsu�rfface sewwoage disposal sy(e i s#a er lice sed in the �Statel of Connecticut, I
X=kkn
622
Name, Address, 1107
Telephone Num er, License Number
hereby apply for a p rmit to construct/repair a subsurface sewage disposal syste loc ted at
7=0and owned by T +4CQ��S OrEt) .
Street, Addr ss, /Lqt Number Name
Addr ss
Information to be supplied by/ plica
Type of dwelling eS'f 1
,1 If non-residential, estimated daily flow
Residential,Commercial,Etc.
Number of bedrooms Al Size of lot `Acre
Number of fixtures above basement
Tubs,Sinks,Toilets,Etc.
Number of fixtures in basement, if any 1 !J�-T ✓
Pumped or gravity flow,
Type of water supply 1 L' If private,type of well
P blic-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 b �56 -Date 6 S
ignature of Ap i nt& ce a Number
For Office Use Only n n
Permit issued by 'D,ey� Date
System installed by rt el
Final Inspection Approval Date
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NOTES SOUTH WINDSOR HEALTH DEPARTMENT
r!a f fU Sce LOCATION o-f /$ V r N La vAc
OWNER v t^" T u c6 vc-s
TYPE OF WORK n� w
DATE /l-L(v-cv'L PERMIT PIPE
INSTALLER 'Tact ve,s
INSPECTOR 0Z1,-) DRAWN BY
/
SEPTIC SYSTEM ELEVATIONS
TOP OF FOUNDATION 320.94
F.L. 4" PVC FDN OUTLET 316.54 U, /
TOP 4" PVC TANK INLET 315.69
TOP 4" PVC TANK OUTLET 315.39 o
D. Box o
F.L. 4" PVC IN-W 314.84
F.L. 4" PVC OUT-N 314.66 N$7.14�4 "E '
F.L. 4" PVC OUT-S 314.68
TOP GALLERY-N 314.68 176.00 \ '
TOP GALLERY-S 314.65 10 CL&P EASEMENT
20' STREET TREE - 1
EASEMENT IN FAVOR r ID ,
/
OF THE TOWN OF
NOTES: SOUTH WINDSOR ` >Ckf
1. THIS MAP IS DEPENDENT ON THE MAP REFERENCED HEREON. 50' F.Y. r 0
83w
2. PARCEL ZONED RR ' N 1 < ! y (n I \
11. < t Of
3. LOAMING AND SEEDING NOT COMPLETED. 3j8.$ 1 1 0 I / N
21.5 12.5 , r // I I � \
12.s ! U1 1
Lot #4 < EX1511NG HOUSE c+
MAP REFERENCE: FF�32z.t3 / ! p
TOW-320.94 5.3 ! f 1
VINTAGE HILLS, SOUTH WINDSOR, CONNECTICUT. PREPARED FOR JACQUES ' , - - FF GAR=319.32 - 1 ! I { rn 1
CONSTRUCTION, LLC DATED 12-3-01 REV. TO 7-16-02 BY DESIGN / 3.0'o r
PROFESSIONALS, INC. 12.5 q 5. • _ 317.71 r
IF
NI 1
U3
-Lot #2
0 CO
r rr Lot # � r 20' DRAINAGE EASEMENT IN /
FAVOR OF THE TOWN OF ,
\ SOUTH WINDSOR
!!r o I+41,1360 S.F,/
� 10 F ,�
r
A u, 0.94 Ace/ �
50 R•Y. _- ,--
\ 1 1 t r
I '
_176.
S87 '
1 1 r
- - - - - -
- - - - - - - , /
THIS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE TH SECTIONS 20-300b-1 THRU 20-300b-20
OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES WI- `STANDARDS FOR SURVEYS AND MAPS IN THE 1 ' r /24" RCC END
STATE OF CONNECTICUT' AS ENDORSED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS, INC. THIS Lot *5 1
' r SURVEY CONFORMS TO HORIZONTAL ACCURACY CLASS A-2. i
TO THE BEST OF MY KNONZOX AND BELIEF, THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON. 1 / ! 1 1
82
BRICHARD P. MARTEL LIC.No. \\ 11 1 ! 1 1 1 I 1 '�//p�i
i i \ 1• HIGH / �% '�✓ RE( W - - - - - ��
Tel. 860.297.8755 PREPARED FOR: SHEET
1.UNLESS OTHERMISE NOTED,EXISTING unuTr REVISIONS �1 �1 T 1. 860.291•5757
-LOCATIONS AS SHOVIN ARE BASED ON GRAPHIC SCALE es1�� IO��
AVAILABLE INFORMATION.ALL PRIOR
TOC UTILITIES VINTAGE HILLS MTA TAX LLC T.O�ATION ]A "
2 ALL
BE nES RE TO B PRIOR TO CONSTRIELD t'OfeSSiOnaIS, Inc.2. ALL UnLInES ARE TO BE STAKED IN THE FIELD
BY A LICENSED LAND SURVEYOR PRIOR TO 7�,(�� p VINTAGE
T • OF
Civil engineers planners surveyors 11 O 1L*3 - 18 V J N 1L AGE LANE DRANN BY' VM0 .K.19 NO.: I&V
CONSTRUCTION
POI.AN IS INVALID UNLESS IT BEARS THE ; g ' p Y
IMPRESSION SEAL AND ORIGINAL SIGNATURE 1 inch = 40 feet landscape architects • Cis •Cps
OF THE PROFESSIONAL ENGINEER/SURVEYOR. NO. DATE DESCRIPTION - BY 1'65 South Satellite Rood South Windsor. Connecticut 06074 SOUTH WINDSOR, CONNEC71CUT ow BY: RAV DATE.• 41j1w