HomeMy WebLinkAboutSeptic Repair 89 Windsorville Road 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 Lo Date Permit Number
As a subsurfac sewage disposal system installer licensed in the State of Connecticut, I
J50—
Name, Address, Telephone Number, License Number
hereby apply for a permit to construct/repair a subsurface sewage disposal system located at
9,9 IA,$ It"ll<4J and owned by 216%92 it
Street, Address, Lot Number Name
Address
Information to be supplied by Applicant:
Type of dwelling -3 &1 Lckig If non-residential, estimated daily flow
Residential,Commercial,Etc.
Number of bedrooms ,7 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 RA—6-14`7 . 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 imp Type of system ✓e4L,
Trenches,Drywells,Etc.
Number of dry wells, trenches, etc. y5F,�_ c �r . Distance between individual leaching
units. Distance from well on saMe property V on adjoining property
Curtain drain required �A/
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 14' Date
gnatureofApplicant icenseNumber
For Office Use Only
Permit issued by Date
System installed by P4!Z-,
Final Inspection Approval C2 Date 9 cl—W
Engineered Systems-Pump Systems- Our Specialty
_ Septic Tanks Vacuum Cleaned Q�Q
l0010 �'� Light Excavating Portable Toilets i �J 6-7
y. t S� �-�- PIPPIN & SON SEPTIC SERVICE �9 L.✓�
37 Woolam Road
WAREHOUSE POINT,CT.06088
(860)623-2313 • (860)875-7472
�� V�2 3
.4�= �/� 3
Yv\ Gulp
` c- s�h'Y6 Svc
37,3 t
U ,
SPA 3!5,
04"
&�7--
\ SEPTIC SYSTEM CROSS TIES THAT
WERE COMPILED BY PIPPIN & SON
RIF ED'hW O do VERONICA XULLS
AC. . . . . . . . . . . . . . . . . . .30.3 ' GRAPHIC SCALE
AD. . . . . . . . . . . . . . . . . . . . .41.3' Ala a 20 40 00 1Ba
BD. . . . . . . . . . . . . . . . . . . . .51.7' 6-_-�——II——— — —
AE. . . . . . . . . . . . . . . . . . . . .51.0' LMmL —- — — ———————
I�X4 BE. . . . . . . . . . . . . . . . . . . . .60.3 '
IN FEET
L inch 40 M
N/F BERWM d: CIGVANN4 7r4M
SEPTIC SYSTEM AREA, REFER TO / 7
,L PIPPIN & SON LOCATIONS FOR THE 1 n ��-1
Jto DETAILS OF THE SYSTEM. I IT'I LEGEND
i
��' �6� 1►Z LOT AREA
27,628 SQ. FT.
Fir: 115.8 0.63 AC.ti
i2 5 Evs hw SPOT E"T4,4
-TfW:I14s 'b a) .
GF: IL3.8 112 oUsrwc CONTOUR --
55: 107.3 112X7 Ei`,E — id o JRD'd PIPE{Urs M)
SeuIa2IN'J.: 110.8 440 *IS WAITER SEzvr.s:
G GAS
N/F NAZlZ C+fiAfrtCNle ?
c ZZh R/F �ac�x/Farrnl►c aauw
IV(& V) HOUSE FOLtN9A710N LOCKED AS SHOW JUKE 29. 1998
ZONE: A-20
I12X5 SEPTIC SYSTEM INVERT ELEVATIONS 124.70•
-- �r SUPPLIED BY PIPPIN & SON SEPTIC O�fPtE$ f APPLICANTr N 7735'11' C
w w AT FOUNDATION. . . . . . . . . . . .111.3 WffUg CONSTRUCTION COMPANY
SEPTIC TANK IN. . . . . . . . . . .110.44 878 STRONG ROAD
SEPTIC TANK OUT. . .110.11 SOUTH yrLVD30R, CONN. 06074
WIN DSO RVI LLE ROAD D.BOX IN. . . . . . . . . . . . . . . . .108.28 TM (860) 528--3564
D.BOX OUT TO FIELD. . . . . . .108.12
I HEREEtY CERTIFY THAT THIS MAP ANO SLR WY WERE PREPARED IN .��-•_� JC TBL.07t-d7o0
ACCORD NCE WITH THE STANDARDS OF A QLASa A-2 SURVEY AS
ht4P l2EfER1=NGES DEFINED IN THE CODE OF PRACTICE FAR N40ARDS OF ACCURACY T DOW" Sommers
OF SURVEYS AND IwiAPS,ADOP7ED 5FF°T1 1' ,I Q9Nf A5 AMENDED n..w.a ... As s o of ate s II1G.
, �
w.w LOP NO. OL tNN MAP EHOWES. HY THE OONNECTICUT ASSOCIATION OF1�J SOV YORS.INC. �v� s.c. as 006 v........ c:. 0.eq-0iaa
SOUTH
OF R, CT.
- PARK AR 1 f 19 s _...« e.R au..a w.x .tea ■.ra..� a„N......
SOUTH Yd NgSOR, CT. 44TF� dptN 1 Q. 1957
SCALE: V R 60' APPROVED BY TOWN OF TOPOGRpf'HIC FIATURE N HEREON, PREPARED IN
SOUTH WWDSOR TOWN PLANNING OOMMIS510N ACCORDANCE WITH CUSS T ,2 g AS BUILT
pPRrt. 2, 7957 cEr,I, yf. BROOKS PREPARED FOR
NOTE ELEVA71ONS AND 6EPJ G REFER TO THE M.D.O. DA7VU OF 1970 - 71rILILAR CONSTRUCTION CO.
.J,4)AES G. 90kNQERS L.S. 4678 7A't 'F 40
AND WEREL'�F3TAit�D FROM THE SOUTH WfNDSQR 1lNG.Dr=P7':
. ov Tu4poOlm"m RMA WMTN WniveoR. CT.
_ sws��r aw�c rn.sa a.ar
1!—il7�A��M VON.. SM! 1� = LO' l�OO—IOA