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HomeMy WebLinkAboutSeptic Correspondence 36 Cliffwood Drive ZONING COMPLIANCE FOR SMALL STRUCTURES } w (Sheds and detached decks 200 s . ft. and smaller) Address of Proposed Structure: ; G Zone: Name of Owner: �����e k ` GIS PIN: atoc�oo3� Phone Number: �(�©�- y��_ �--q� Application #: I. Name of Applicant: Address: Lf;�w Phone Number: 2. Structure cannot exceed 200 square feet. TYPE OF STRUCTURE: X SHED DECK (not to exceed 30"from grade) DIMENSIONS OF PROPOSED STRUCTURE: _/O x/Y 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 are understood. Applicant Signature: /.1�, �-4 Date: S� Zo/ Owner Signature: 4 Date: Reviewed and approved by: C�'w � '� Date: Zoning Enforcement Officer Reviewed and approved by: Date: Enviroi ental Health Officer cc: Assessor Building File 04/15/14 r ` \ 0* Town of South Windsor — Health Department 1640 Sullivan Avenue, South Windsor, CT 06074 5 Phone: 860-644-2611 ext. 248 Fax: 860-644-7280 t �4050R•Cu'r - B100a APPLICATION (for building conversion,change of use,building addition,accessory structure and lot line change) Standard application review time is 5-10 days,if soil testing is needed,additional time will be re uired to complete the review rocess. Street Address of Proposed Activity/Structure l�l _/- �� cam-!� ��!d d�✓` � /� .., 4e L 4 Owner Name Mailing Address Telephone Applicant Name(if different than owner) Mailing Address Telephone Describe the proposed structure or activity with dimensions: S67-e Residential ✓ Number of existing bedrooms Non-residential Please describe Property served by on-site well? ® N If No,List name of water company Property served by septic system?(5) 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,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 testin . 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 pross.I further agree that this authorization to enter the subject property may extend through a period of time ending with the fmal B 100a application approval and affirm such with nry signature below. Applicant Signature: Date: LOj FOR OFFICE USE ONLY: Approved: ( N By: Date: 1 K Comments/Conditions:_ �r�.�1t `Z[�ry ;I AIA-_ -e.>.C. -- A- � r S . May 2011 1 /y r. 1 ,pry , °N• /41 OK f0 49rc,. ..��..•. �r•..� .+-7 .T',•:r CY/4r•' . ..�,.'F /' - ,.�'(�c7 't9 rY`r'iYr'S.Y /}�`<'"•1`. C.r,[six ,/.j,. ir�'• ✓S/Y".�.t.�' +.'.:�w?�::1�'r�:i..e"f..�"� .f`iG+'-'�.JI."'f�/i• r7"//y',s'.0 �''� r.'"`G��a'�:�."G'�y'� ev O DRAWN ..:'..:: .;,::. �• OESC !1'TIQN TRACED ALs CHG'D CHK'D 1"'D CHECKED. fiABG O�CH/►NG�8 A1RfntbvED