HomeMy WebLinkAboutSeptic Correspondence 108 Griffin Road v« W.
Town of South Windsor Health Department REC
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1640 Sullivan Avenue, South Windsor, CT 06074 E�Veb
Phone: 860-644-2611 ext. 248 Fax: 860-644-7280 NA
201
B100a APPLICATION SOWhejLks6cess.
(for building conversion,change of use,building addition,accessory structure and lot lineiqNDgpR
Standard a lication review time is 5-10 da s if soil testin is needed additional time will be r uired to com let
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Street Aldress of Proposed Activity/Structure
Q.cww.� cicGwvs / 1C�S, 6r%A t^ 12 l SW c rest ( gGd q36 tM 3
-—&W—n-err Name Mailing Address Telephone
.Applicant Name(if different than owner) Mailing Address Telephone
Describe the;proposed structure or activity with dimensions:
Residential U.5 Number of existing bedrooms 3
Non-residential Please describe
Property served by on-site well? CY) N If No,List name of water company.
Property served by septic system? N Age of system Date last pumped
Plot plan—attach a scaled drawing showing property lines and dimensions,location and size of existing and proposed
structures,an&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'B100a 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 B100a application
approval and affirm such with wly signature below.
Applicant Signature: Date:-3-11 41
FOR OFFICE USE ONLY:
Approved: D N By: Date: 3�311 t`'
Comments/Conditions: (4 2w sa "'
G1�f bye Mr.Q- �..n x�o/ i�+�[.. v'Z'
May 2011
SAWN SFq
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wC, 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
SOR-CO TELEPHONE(860) 644-2511
April 1, 2014
Mr. George Backhaus
Mrs. Mary Backhaus
108 Griffin Road
South Windsor, CT 06074
Dear Mr. & Mrs. Backhaus:
On March 31, 2014, this department received a B100a application for a proposed 12' x 16' foot
shed to be installed on your property.
Upon review of the'information provided on your application, the proposal has been approved with
the following conditions:
• A minimum of 5 feet should be maintained between the shed and the existing septic
system.
Be advised, you must obtain all appropriate approvals from other town departments prior to
commencing work on this project.
Should you have any questions, please do not hesitate to contact me at 860-644-2511, extension
248.
Sincerely,
. 10
Sherry M ann, BS,REHS,HHS
Environmental Health Officer
SKIPS SEPTIC TANK SERVICE, INC.
6 Nutmeg Drive • P.O. Box 29 • Ellington,Connecticut,06029
(860)875-2332 • www.skipsseptic.com
THIS IS NOT A REAL ESTATE INSPECTION Date R d,
Street 67 rf 7—� s`sa 3tt House(Lot)# / Owner ✓ c ��
Town Se, Telephone Ct
Building Serviced: ,Residential ❑Apartment ❑Commercial Garbage Disposal Y N
a®
Size of Tank: / Gal. Depth Below Grade: ZY Separate Graywater System Y N
Riser(s): A® �� - Water treatment discharge to septic Y N
Solids: ":Liquid Depth ��� "_ -- ✓`-' Distance from tank to truck when pumping:
Note:State Health Department recommends<25%accumulation --
ft
Tank: O,Good ICAcceptable ❑Poor Outlet Filter Approximate vertical(uphill)pull-if any:
Inlet pipe:_ op r--a-y's cL cu— Type of Tank:❑Steel Xboncrete
Multi Compartment ❑Other:
Baffles: Type T to C c-r e-
Yp Condition r---------------------------------
'
Fields appear to be: A.bs�G r
� S
Tank at: Normal Level d` e't �t lightly above D
Considerably above Water running back
Last pumped: Next pump:
Need to call office re:
Location of tank: Diagram w/dimensions and locations of covers. . ...
Not responsible for change or damage due to seasonal water table variations
or change in household use. if you have any further questions,please call our
office or your local or state health department.
1
ZONING COMPLIANCE FOR SMALL STRUCTURES
(Sheds and detached decks 200 sq. ft. and smaller)
Address of Proposed tr�cture:� 1 rti PA!!, Zone: -9'0
r''77 •tL(CC-C
Name of Owner: 6re&vnj rd'-2 GIS PIN:
Phone Number: Q 16 43`7 3
1. Name of Applicant: �-�
Address: 0 rr--C-=i f 1
Phone Number: R60 Lt36 LL3 73
2. Structure cannot exceed 200 square feet.
TYPE OF STRUCTURE: t SHED DECK (not to exceed 30"from grade)
DIMENSIONS OF PROPOSED STRUCTURE: W 9 L6�
3. A Class D survey must be submitted with the application showing the property lines, all other
buildings and the location of the proposed structure.
4. Is the property served by a septic system? Yes No If yes, the applicant must
complete and submit a B100a Application to the Health Department for review and approval.
The undersigned hereby permits Town staff to enter onto and inspect this property during
reasonable hours for the purpose of reviewing this application and to determine final compliance
once construction is completed.
I, the undersigned, acknowledge that the above information is true to the best of my knowledge
and that the above requirements e understood.
Applicant Signature: Date: '"' �(
Owner Signature: j Date: D
Reviewed and approved b : �/ � (} -� Date: 3 3€ `✓
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Zoning Enforcement Officer
Reviewed and approved by: _ Date: ?t I(L"A
Environm tal Health Officer
cc: Assessor
Building File
3/26/14
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108 Griffin Road 1 inch 30 feet PARCELS CENTERLL..
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