The URL can be used to link to this page

Home My WebLink AboutSeptic New 45 Newberry Road fot4L • NORTH CENTRAL DISTRICT HEALTH DEPARTMENT ❑ ENFIELD —31 North Main Street•P.O.Box 1222• Enfield,CT 06083 •860-745-0383•Fax 745-3188 ❑VERNON -375 Hartford Turnpike, Room 120 •Vernon,CT 06066 • 860-872-1501 •Fax 872-1531 ❑WINDHAM — Town Hall, 979 Main Street • Willimantic, CT 06226 •860-465-3033•Fax 465-3032 ---- ❑STAFFORD__Town Hail 1 Main Street • Stafto LSpring s,CT 06076 •860-684-5609•Fax 684-1768 ,.Afi4 U1LT PLAN Permit No. Town U idfo.-, Location � A/c Q 6Crr Date House No. or Lot No. and Street New Septic System Repairof 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, septio tank,-pump chamber and rtai drain es.needed. Show NORTH with arrow. .Show road,.:driveway, etc. ; , a r iJ" ` g Sil 2 ----------- Point #1 #2 #3 #4 #5 #6 #7 #8 #9 #10 Distance from Corner"A" .SDI G Lb 0�� 3 Distance from Comer"B" ► iiss t Distance from "C" Distance from"D" Revised 12/98 ---_-- - NORTH P�M-- WAL DIST�ICT j��s,a�1Lr PLAN _ EALTII DEP Address PERh1IT ; _ARMN ' Latest Revision D - S> h ate: t . Page 2 __- fi j 1. Required dumber of Bedrooms: square footage for leach 9 field on approved Plan 2. Actual square foota a . of�ns#ailed leaching Ac#taalline t arfeetoftr area each in 4' orsystem:TYpe Of syste 17 m stalled installed(i.e.,4'X 5. 1'#rench, d Capacity of installed Septic to ry Wells tank is 15-0® ,etc.). 12,1( Co 6. -Does the - c� 6alhryC f septic allon an outlet filter? '/e PuMA_Cham�er 7• Mlnimu . Y S m distance be `--1'esNo g between building foundation and Minimum distance betW een building septic tank= �1 S-r( 9• Is buildin g foundation g connected to a and edge of leaching feet. 10 publicwatersupply? ��ts 9sYstem_ Minimum distance feet. --e between sewage disposalsystem — 11. Minimum distance between edge of leaching s ste Were distribution boxes set 1 - Y m and prope feet. 13 Was_leachin. s level or ove►flow? dy borders_ feet. 9 Yytem surrounded with require 14' d-amountofsto Whattype ofpipe Was Used from buildingne? YeS 15' Was leach field covered foundation to se ered with filter fabric? ptic tank? �c What type field pipe.was used�� 1/as the ed after the anYdeviation from septic tank? Sty 3 S. ---------lf Yes, explain on a separa a the original planned 1e undersigned _ -- sheet. system? N� ns applicable state analler hereby d local codeCertifies this ----- - Private subsurface ordinances rface Sew - -_- _ and the information _ age ds _ - posal system supplied is substanticonforms nfo >ected by: rms to Lic... 7 R 7 DIY correct. -Date /u- Zs -w e;ofPrope�Owner: 'd : � �a�l�s Q Date,_ 7/9.9 . S 4! B 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 ,2-L? Date L Permit Number As a sub urfa a sewage disposal system installer licensed in the State of Connecticut, I �tr rCJ&(JAt&) ter. (i.() lbori 7 s to 240 STq--na 5742 Name, Address, Telephone Number, License Number hereby apply for a,, Permit to construct/repair a subsurface sewage disposal system locj ted at Q'� 1yt'i�nnt/ (�.( � andowned by CA,&"Ie) S�e/��1 Street, Address, Lot Number Name S'fS- M.a,', Address Information to be suppJ�ed Icy Applicant: Type of dwelling PT3I ►al . If non-residential, estimated daily flow Residential,Commercial,Etc. Number of bedrooms 4— Size of lot 3,6 f Number of fixtures above basement Tubs,Sinks,Toilets,Etc. Number of fixtures in basement, if any , P�6l`,` Pumped or gravity flow, Type of water supply If private, type of well Public-Private Information to be supplied by Health Department: Soil type at various levels Percolation rate /d 't . Square feet of effective leaching area required T ; Size of septic tank l S-00 Type of system t 2µ CO^C tty. 6a4(e^fe S 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 AJ0 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 S 7q 7 Date 4 V Signature of Applicant License Number For Office Use Only Permit issued by Date System installed by �� Final Inspection Approval Date r' CCU II �Q PG �GUSK eS ati()A- 56e+�� ANGLE 96 HT AL'S°0,r uw. welm� 2 MM OLT 5. HS L�cv�nmwaos 7f2 FM O FO . 6 S 24.31'03" W 10.0' 1 ATTACH Rites FABRIC To IL RUNFU THE FILTER 1W* FAMYC� rll ilE T�NCi� M E UVAM M i A N 4 0' CONSTRUCTION OF SYNTHETIC FILTER BARRIER I � N.T.S. !i - S•HIx s�, Z I 6" LAYER CT D.O.T. �� 1540 SULLIVAN AVENUE•SOUTH WIN(aSOR,CT 06074 r STONE TO BE TELEPHONE(860)644-2511 PLACED OVER FILTER •May 27,2009 FABRIC MATERIAL Certified#70041160000210601137 Charles B.Slibpard 585 Main Street South Windsor,CT 06074 RE: Appl.909 20W—Shepard House Lot—45 Newberry Road THRU STREET EDGE OF PAVEMENT TRACKING APRON Dear Mr.Shepard: N.T.S. At the May 20,2009 regular meeting,the Inland Wetlands Agency/Conservation Commission approved application 409-20W—Shepard House-Lof'-45 Newberry Road—IWA(Conservation D-3033. Commission application for the constructlon of a residential house and associated Improvements on property located southerly of Newberry Road and easterly of Main street.AAO Residential Zone. Thls.apprpval is subject to the following conditions. 1. The application shall indemnify and hold harmless the Town of South Windsor against any i liability,which might result from the proposed operation or use. 2. The permit is valid. for five years and shall expire on May 20, 2014. It is the landowner(sjlapplicant(s) responsibility to track expiration dates and notify the Commission of a renewal request at least 65 days prior to expiration. 3 AN additional approvals required must be obtained and submitted prior to any activity on the site. 4. Show soil typos on the plan. 5. The property owner will work with town staff to create appropriate vegetative buffer. 6. A bond shall be collected in the amount of$2,500 to ensure proper placeri* and maintenance of erosion controls. Very truly your,, CON'INLANDSERVATION WETLANDSAGE CY1 Wjza �a�l�� •Elizabeth A.Warren;Chairperson EAW:dt cc Chief Building Official Prepared For: SHEET Charles A Shepard 1 CHE :KM/ Newberry Road Mvy 5f'�;2009 South Win&or CT '!