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Home My WebLink About92 Tallwood Drive 10,H N S f4` r Town of South Windsor — Health Department 1540 Sullivan Ave., South Windsor, CT 06074— Mailing Address y,, 1530 Sullivan Ave., South Windsor, CT 06074—Office Address 1111osoR-co" Phone Number: (860) 337-6173, Fax Number: (860)644-1930 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 required to complete the review process. 12 T+11tooti-to or Street Address of Proposed Activity/Structure Q,1C44awcL 511 yct i ga TaIl w000 or- Owner Name " Mailing Address Telephone P61A Qvt lldres Ut— ? SP1014erS ' /ZXJnJ i No SYt 957F Applicant Name(if different than owner) Mai/ling Address Telephone aZ t A) -1�t or— z e; sj Describe the proposed structure or activity with dimensions: mvc. s 0+11 t 8*445 Residential_yl_� Number of existing bedrooms Non-residential Please describe Property served by on-site well? Y L"9 If No,List name of water company Property served by septic system? N Age of system ? Date last pumped AZ-Of 7 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 may extend through a period of time ending with the final B I00a application approval and affirm such with my signature below. 1 Applicant Signature: U, 74 Date: Q a a /M-ItCEIVED FOR OFFICE USE ONLY: OCT 2 2018 Approved:oy N By: &&V4/ N,C� f Date: U ` Lf SOUTH 1MNiDSOR �` PT. Comments/Conditions: A u WA hLA_ �so. i.�1oc7 io laa'L r FEE AID: CHECK# DATE PAID: Rev.7/16/18 FOR OFFICE USE ONLY Application Complete: Notes: Form: Plot Plan: Building Plan: Info Needed: Soil Data Available: Notes: Test Pits: Perc Test: Need Soil Data Y N Activity Code Complying Area found Y N Building Conversion: Will proposed change result in expanding system? Y N Change in Use: Notes: Addition w/ Increase: Addition w/o Increase: Addition w/o Increase OR potential repair area found that meets the following: 1. Replacement area provides 50%of ELA Y N 2. Replacement area provides 50%of MLSS Y N 3. No exception(s)to well separation distance Y N 4. Does not reduce the potential repair area Y N 5. Does not increase design flow of building Y N Accessory Structure Code complying area? Y N Potential repair area identified? Y N Lot size reduction Code complying area? Y N Lot line change General info Will this negatively impact existing SSDS? Y N Will this negatively impact existing well(s)? Y N Area separation distances approved: Y N Notes: .t cr \ r r FOR BUILDING PURPOSES ONI o - - 1 i c c OP PROP-.RT- Be in,,- LIB V i+i• on map entitled 112IN:+ -- ,r'r L, •J:�'i 1. ._.sJ Acid itl cn .. .•. Pic, i 60Utl, �lin:,...cr, „oun. �Scale 11, - Gris��,,ici �n_::ineeri��, �^•c. ++ - �/��Ck ui,; 31 19E l G 6- \ (b � \�` n i fG /(O'63 PPOILT.RTY OF rir TALLWOOD �, �rT.; ; Being Lot N �' on map entitled "Piid�� HT?.L �' T R Addition No, 1 South `: indsor, r-("un. ica i e i" 401 Mirch ! 11-' , 1"68 Griswold ?,ngineerinE: , Inc. " Scale 1" 40' Jul ;• 3 , 1968 GRI;�ts LJ ENGINh'j-.PING, INC. 5 . .�'. Ce ` i.s�o i f•c. �$y:S7"r'''�' ��,?94,.sF '," SOWN SC 4 i 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074 'y�SOR C��c TELEPHONE (860) 644-2511 October 24, 2018 Puida Builders, LLC 7 Spinners Run South Windsor, CT 06074 B-100 APPLICATION Street address:92 Tallwood Dr. Town:South Windsor,CT 06074 Dear Puida Builders, LLC: On October 22, 2018,this department received an application proposing an addition to the property listed above. Based on the information provided and paperwork in our files this request has been approved under the following conditions: Maintain a minimum 10 feet distance from the existing septic tanks and leach fields from the proposed addition Approval is being granted under Section 19-13-B100a of the CT Public Health Code. This approval is given with the understanding that you will provide proper care and maintenance of the existing system(the septic tank is to be pumped every 3 years). THE OWNER IS RESPONSIBLE TO SEEK PROPER AUTHORIZATION FROM ALL TOWN AGENCIES PRIOR TO START OF CONSTRUCTION. Should you have any questions, please do not hesitate to contact this office at(860) 337-6173. Sincerely, 44" D Heather Oatis, REHS Environmental Health Officer cc:South Windsor Building Official South Windsor Town Planner � w , /.a South Windsor Health Department B 100a application (for building conversion, change of use, building addition, accessory structure and lot line change) 14006449OF4 40c Address of proposed activity street number Owner Name & address if different from above telephone 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? A N Plot plan-attach a scaled drawing showing properly 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 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 B 100a application approval and affirm such with my signature below. Applicant Signatu Date S '-30-or FICAIL USE ONLY 74 - p FOR BUILDING i PURPOSES ON , c. PROP77RTvNil �? Bei_n. L�, 'i;?. on mac ent.itle,,' "2-IN_ 11--1 l 'JL'ir`:T Ad—diticn IjC . L .JC,Utu �liZ1:l:OTC UnI:21. vG3I@ ltt = 4� ' ^TC:i Grisw,)ld Sn-_ineerJ_~c 3 1068 s ,c a ge i" 4r,1 `i1'd , TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. TO THE BUILDING DEPARTMENT: Date 3 _19� A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: Z-5�4,=!S A 1. Owner of Property` ddress of Owner Q 2. Location of Propert ��cx, ot. No. 3. Type of Structure No. of Bedrooms 13 (Dwelling,Cbmmercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets 21 Urinals Lavatories_ Bathtubs Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank /o9 _5-7__ Material of Septic Tank //� __ _-itYYlit`iJD 7. Soil Conditions: Type of Soil �l ,nj S Gt-� Maximum ground water table (Sand,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well from adjacent wells i 9. Distance to nearest water course, drainage ditch, storm drain or embankment 10. Percolation Tests: Time for 1" drop in soil test !�Jon.A nQ Classification of soil 11. Minimum square feet of effective seepage area required y y 12. Leaching System: Number of trenches Length `� o�_7 Width_ Total o? Other Signatu (Licensed nst er) (Sketch showing all minimum distances and other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By N/ 6 6. -- 1, eo \ R t � / t i i TALLWOOD :TT'it T ; n i n z -- EC • - ,'Yi. :..,a P f.4..t i 4 1..E", Li ! `Lin . r, U in 41.J 1 1968 f�� /.f�.�a/"'�'✓�✓'r'.i6� '+' �r�� * f:/� �..Y ,aJ ..�1. 03/26/2007 MON 10:51 FAX 860 644 7280 South Windsor Town Hall 0001 FAX TX REPORT TRANSMISSION OR JOB NO. 3269 DESTINATION ADDRESS 98608750428 PSWD/SUBADDRESS DESTINATION ID Skips Septic ST. TIME 03/26 10:51 USAGE T 00' 18 PGS. I RESULT OR ------------ 0\ rj A ov) ?p. TALLWOOD