HomeMy WebLinkAboutSeptic Repair 315 Deming Street 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 10 C r LOOS- Date �Z G o Permit Number
As,a s bsur ace sewage disposa /systteem� installer licensed in the State of Connecticut, I
G - ✓i Go n /�U/GW C�v lCMan go
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Name, Address, Telephone Number, License Number
hereby apply for a permit to construct/repair a subsurface sewage disposal system located at
,3/5- Sf and owned by 4„
Street, Address, of Number Name
air Q, s<
Address / Q // C)A)�l
Information to be supplied by Applicant: /'JI//�K
Type of dwelling If non-residential, estimated daily flow
Residential,Commercial,Etc.
Number of bedrooms 3 Size of lot
Number of fixtures above basement
Tubs,Sinks,Toilets,Etc.
Number of fixtures in basement, if any "-/x
Pumped or gravity flow,
Type of water supply 'V��I-e- . 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 groundwater
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 EPARTMENT.
Permit Received by `� Date
Signature of Applicant&License Number
For Office Use Only
Permit issued by Date
System installed by
Final Inspection A l lr�p ^l o
p Approval ��� .� ,�,, Date
Septic Repair For: Greaney
315 Deming St
South Windsor CT
Design Criteria: 3 bedroom house,public water, 1000 gallon 2 compartment tank
required.
Proposed: Replace existing steel tank with a new 1000 gallon 2 compartment concrete
septic tank with risers and an outlet filter. Replace existing steel distribution box with a
new pvc box,connect to existing leachfield.
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Designed B Andrew Coleman License#5839
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AS-BUILT PLAN Permit No.
Town Sot.A LJ nJS°.
31 s fit.�,;�
Location J S 1� Date l Z 1 o 1 o
House No. or Lot No. and Street
_ NewSepticSystem
Ong X
�' _Repair of Existing System
Draft a substantially correct scale drawing with property boundaries,showing separation distances of septic system
installation; at least two sides of building nearest system; septic tanks, distribution boxes;trenches;dry
wells; beds; galleries; potable water supply wells; and, other features affecting system and its location.
Show leaching system,septic tank, pump chamber and curtain drains, as needed.
Show NORTH with arrow. Show road, driveway, etc.
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Point #1 #2 #3 #4 #5 #6 #7 #8 #9 #10
Distance from Corner"A" 37 yz'z" 41'3''
Distance from Corner W 38t��� 13`k 461
Distance from "C"
Distance__from_"D"
Revised 12/98