The URL can be used to link to this page

Home My WebLink AboutSeptic 577 Barber Hill Road B100a =` Town of South Windsor — Health Department 1640 Sullivan Avenue, South Windsor, CT 06074 # Phone: 860-644-2611 ext. 248 Fax: 860-644-7280 B100a APPLICATION (for building conversion,change of use,building addition,accessory structure and lot line change) Standard apoRcition review time is 5-10 da s if soil testin is needed additional time will be re uired to com lete the review process. S`T �? �Ar(Zr3 ErC. �,�-'t t,cr YZ•C..� Street Address of Proposed Activity/Structure Owner Name Mailing Address Telephone Applicant Name(if different than owner) Mailing Address Telephone Describe the proposed structure or activity with dimensions: 1 Z K 2 c) S - �I lb +y C I S Tj disci Residential Number of existing bedrooms 3 Non-residential Please describe Property served by on-site welly N If No,List name of water company Property served by septic system?5)N Age of system Date last pumped t-40 t4L. Plot plan_attach a.scaled drawing showing property lines and dimensions, location and size of existing and proposed structures, and:site features such as driveways,wells and septic systems,drains and water courses. Building plan—attach a sketch/floor plan of the proposed structure,addition or renovation showing existing and proposed rooms with door and window locations. Soil test data(deep test pits and percolation test)are required for the review of this application. If the data is NOT available,you will need to schedule an appointment with the health department for soil testing. As property owner or duly authorized representative of the property owner of the above referenced property,I agree to allow the health department staff to enter the above referenced property as part of this B 100a application review process.I further agree that this authorization to enter the subject property inay extend through a period of time ending with the filial B 100a application a roval and affnrn such with m tur b ow. 21 Applicant Signature: Date: FOR OFFICE USE ONLY: Approved:/Y N By: UDate: too 3))-L— Comments/Conditions: Z A-a May 2011 • Ib' N/F. JOHN RLIOfNSKY ET AL NOTE: ZOO OO NO GR0Uu'0WATER f NO 41oT'Ttregt4r_ ty y j G ► 15LZ - - fir. 9 El a0 ZA> r ksy N/F DZEN\ �'- Ea FL 2V4 �,a rC T,114 OF / DRAwnC E O O / SEpT-C SYSTtf" 10 (� � 10 N i.t.*. • �Ef� 1 27.5 4 61=0Ro0VA 0 0. 6 loq►ti I DRIY Res�oe►sc� s.s a G 4o S4N0r 2EJ C LAr � �� riGNi GQAJI 3 o 1I RC 1E$r.;(OUT4,137f rl:Attr'ri; 20 411W. � AE�1i/�G TQrNCNt, 5ff BUILD LINEat3''900 SF I O WELL 900 S•L 30MNJ%79MM40 N.r'-A3 1' z5o GAc�oAF -C TA Jtl (mom da' szt BARB R dkV$ NNI� . �:;�:;.. •�,_.r;1 .•�--t�-; HILL RS�641iyy tfSi. -)rsmtOMO6 Y'gqa VIM PROPERTY OF J BARBER HILL, ROAD � H I DSO ,� CONN', ENCrL : .' ..: ..LUCEK ASSOCIATES NO. REVISIONS DAIS SCALE 1"= 4d DATE 8-2-78 - CONSULTING ENGINEERS I REY15E:SEPTIC. o-3-Te _ S OAKLAND ROAD SOUTH WINDSOR, CONN. DRAWN A.V.N. CHECKED EW.L.. 203-E44-2474 PROJECT 78 L SHEET CERTIFIED SUB�TANTIALLY CORRECT - DEGREE OF ACCURAC - R BUI G PURPOSE South Windsor Health Department B 100a application (for building conversion, change of use, building addition, accessory structure and lot line change) Address of proposed activity street number Owner Name Address telephone PTV-I-k I / Applicant name &address if different from above telephone Describe the proposed structure or activity with dimensions (e.g. _ "addition with bedrooms, bathroom, family in ground/below ground pool deck, winterizing porch) Residential Number of existing bedrooms Non-residential Please describe Property served by on-site well? Y N Property served by public water? Y N Plot plan-attach a scaled drawing showing property lines and dimensions, location and size of existing and proposed structures, and site features such as driveways, wells and septic systems, drains and water courses. Building plan-attach a sketch/floor plan of the proposed structure, addition or renovation showing existing and proposed rooms with door and window locations. Soil test data (deep test pits and percolation test) are required for the review of this application. If the data is not available, you will need to schedule an appointment with the health department. As property owner or duly authorized representative of the property owner of the above referenced property, I agree to permit the health department staff to enter the above referenced property as part of this B 100a application review process. I further agree that this authorization to enter the subject property may extend through a period of time ending with the final B 100a application approval and affirm such with my signciture below. Applicant Signature Date OFFICAIL USE ONLY r �u41,577 _ N/F. JOHN RU"DINSKY ET AL - NoTE'. 200.00 Nc� 6ROi1ltDWA\ER NO MO'T'r%_elNc' 36 RESERVE AREA C�L i N/ F DZEN\ I la` Iz .:� Zap k>:Y IL t {� E3 FL21'G ',r2,-cnaN OF r�rZ t'A c 4 IO INO 6.2.4." a O -oEF_ IE$-T(T"" "I. O O G LoAs'h 27.5 4 BEDROOM O DRIV 6_4o SRNnren RES{DE Nc - I c LAr 1.;297.0 , 1d-66 T16H'-, GRAJI ,s.. 6466 )31 GnAjF-L. p 3 �` Rc iES r (ajT 4,197E 20 k1ttJ.. O / VE'Ac 4,t4G TILc)4cNt. N I aea 0 900 SF 50� I.DfH LINE / . BUI• - I 'Is' 10 WELL - 900 S.t 200.00� BARB R HILL ROAD it_�` cl2 PROPERTY OF JEff-RE (,,J .a ...J IW-W—R 4AMfiA, BARBER HILL ROAD. .$MTH W NDSOR, CONN'. EM It.::{ ' ," 'LUCEK ASSOCIATES NO. . ' REVISIONS DATE SCALE I"= 40' DATE 8-2-TS CONSULTING ENGINEERS 5'OAKLAND ROAD DRAWN A.V.N. CHECKED E.W.L. SOUTH WINDSOR, CONN. 203-644=2474 PROJECT 78'13 SHEET CERTIFIED SUBEffANTIALLY CORRECT - DEGREE OF ACCURAC - OR BUIL G PURPOSE .... ,�.,•,,. ............. ..