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Home My WebLink About900 Hemlock Avenue / 1900037 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER DRAIN LAYER PERMIT f DATE: 03/25/2019 GIS ID: 41350900 FEE: 80.00 MUNIS APPLICATION# 201900494 ' k, � EXPIRATION DATE: 04/24/2019 APPLICANT''t LOCATION NAME: BUTLER COMPAN 9'00 AMLOCK AVENUE RADDRESS: 848 MARSHALL PIE--pg aO )XVERgREEN CROSSINGS RETIREMENT yCITYPLACE WINDSOR,CT 060 ^v PHONE 860 68$ 804 5 ti s WORK DESCRIPTION: LAY M�Il�`t�ND I AY LATERAL FOR (7T .DIN WITH CONNECTION r N n., All THE DRAIN LAYER ASSIGNED TO THISPERMIT HS-A, ALID 1 ICI;NSE IS$UED:BY TIE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTffN' THEt-A-TE ACH D` NDITI4NS a k"L-WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS,t�LL OS IA tE�UIREMEI*fiT ,�AND'.'v ATTACHED CONDITIONS. th ISSUED BY DATE INSPECTED INSVP�-E--CTED BY 3/25/2019 2:28 PM •, �i � ,v yY { h k.t( 40 Ar e q k( K 'k i - i i T.DiN OF SQU'tH.WIND50RINSPEC"ON REPORT . CONTRACTOR: ----- PERMiT ND.: . - LOCAMON; r 4 C TYPE OF WQRK: DATE 1 NSP NEEpED: INSPECTED BY: D . WORK IN PROGRESS' Ste•-v+ � <z 'lee • ' HED FILLED WITNESSED ❑� NO' SEPTIC TANK PUMPEDr 5 r AS-BUILT: DATE: :.' 5(moHoyf forms aR7 i4 2M4 Town of SouUi Windsor•RIPSWT14 I APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $80.00 Location of proposed work: ��t7 Q v� y�' Lot # St et No. Stree ame ` r Premises owned by: l/ •G Name of Firm: �� Phone: Address of Firm: a loop TYPE OF WORK: Lay House Drain ,• Repair House Drain .�. ; Sanitary Disconnect Lay Lateral for bu' 'ng with connection V ; or no connection ; Lay Main + Lay Lateral for Commercial/Industrial Building number of acres it t Connection will be made with �10,e,,,/ G i Existing Water Supply: Public Water�� Well Proposed Start Date Estimated time for completion j ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA REQUIREMENTS CONDITIONS ATTACHED TO THE PERMIT Permit is to be issued to o,�L 5 the holder of Drain f Layer's License No. &A D � Only holders of P-1 P-7 r W-9 licenses will be issued a permit. PERMIT WILL EXPIRE THIRTY (30 AYS AFTER DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms and conditions set forth in the permit aqo attached thereto. Applicant has recephled Town Street Excavation Permit No. AllA and/or ConnDOT Permit No. Al CBYD No. I �1n�G�r S PLEASE NOTE: IF A SANITARY SEWER LATERAL IS WITHIN 75 FEET OF A WELL IT MUST AIR TESTED Signed: Print Name: L' �&117ain Layer Date: Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMrr REVISION 3/2016.doc O r Y Town 0-psoud. ?d&U:1'40t c 1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074 sOR.C-0�w TELEPHONE(860) 644-2511 Richard Shank,General Contractor-Superintendent March 29,2019 Cameron General Contractors,Inc. 7101 S. 82 d Street Lincoln,NE 68516 Re:Evergreen Crossing Retirement Community 900 Hemlock Drive, South Windsor, CT Dear Mr. Shank: Please find enclosed a reimbursement check totaling$1,200 from the South Windsor Water Pollution Control Department. During the initial calculation of the sewer fees for Evergreen Crossing Retirement Community located at 900 Hemlock Drive in South Windsor,Connecticut a lateral assessment of$1,200 was included in the computation. After further review of the owed payment, it has been determined that a lateral assessment for the property is not owed as a part of the sewer fees. Since we have already received payment for the original amount owed we are sending you a reimbursement check for the miscalculation. Regards, -74 Tony Manfre Superintendent of Pollution Control c.c.:Richard,Aries,Water Pollution Control Authority,Chairman T f ee"" Doolittle,Town Eng rteerj SOUTH WINDSOR COMMERCIAL/INDUSTRIAL SEWER FEES 1.APPLICANT INFORMATION 2. PROPERTY INFORMATION LAST NAME FIRST PLANNING APPLICATION# GROCKI MARK 17-38P COMPANY(IF APPLICABLE) ADDRESS EVERGREEN CROSSING 900 HEMLOCK AVE STREETADDRESS SUBDIVISION/COMPLEX NAME EVERGREEN CROSSING RETIRE. COMM. CITY STATE ZIP LOT#(IF APPLICABLE) PHONE: EMAIL: MARK GROCKI -VHB i 3.HAS THE PROPERTY PAID A PREVIOUS ASSESSMENT? ] TOWN INSTALLED SEWER,UNASSESSED PROPERTY [X] DEVELOPER INSTALLED SEWER CONTINUE TO STEP 4 CONTINUE TO STEP 5 ] TOWN INSTALLED SEWER,PAID ASSESSMENT- [ ] OTHER CONTINUE TO STEP 6 4.ASSESSMENT CALCULATION ZONE MINIMUM FRONTAGE: MINIMUM ZONE FRONTAGE I or GC 100, COST PER FOOT x $80 RC,TS (on Route 5),DC 150' TOTAL $ - or RSNOZ GD or RO 200 5. NEW CONSTRUCTION CAPACITY CHARGE #OF WATER METERS 1-4" EQUIVALENT DWELLING UNIT VALUE TABLE EDU (TOTAL OF EACH METERS EDU) 0 BASE FEE x $2,655 EDU WATER METER SIZE(inches) TOTAL $ - 1 < 1 2 1 6. CONNECTION CHARGE(IF APPLICABLE) 3 1.5 BUILDABLE ACRES 8.7 4 2 CONNECTION CHARGE x $3,845 6 3 TOTAL $ 33,451.50 8 4 . 12 6 ... 7. LATERAL CHARGE(IF APPLIC eLE) 16 8 #of LATERALS 1 20 10 LATERAL CHARGE x $ 00 24 12 °�°- OTAt $ 1,200.00 8.TOTAL.F�f s :. OFFICE USF ONLY TOTAL OF STEP 4 TOTAL OF STEP 5 $ - PRINTAND SIGN DATE TOTAL OF STEP 6 $ 33,451.50 Capacity Charge is not applicable. Approval to TOTAL OF STEP 7 $ 1,200.00 connect was in Jan '18. Benefit Assessment TOTAL FEE $ :50- was modified in Feb `18. 34123[ SOT ES GOOD THROUGH JUNE 30, 2019* TOWN OF SOUTH WINDSOR SANITARY SEWER LATERAL FIELD LOCATION DATE OF CONSTRUCTION: BUILDING ADDRESS STREET SUBDIVISION: t`P;�s red NORTH ARROW ! i � 1 1 ! � I ' I 1 '• � i I A, /2 { CONTRACTOR (PRINT) / NAME 0 CONTRACTORS SUPERVISOR (PRINT) STREET ADDRESS tIGNATUIRE gyx "?Z •� iO ATE TOWN / STATE ZIP INSPECTED BY TO N s B r" (f DATE TELEPHONE NUMBER WHITE — TOWN PINK — CONTRACTOR YELLOW -- CONSULTING ENGINEER / DEVELOPER �01 N Sf4 ' T-ov� O-P slot L V&U&ot Ile 1540 SULLIVAN AVENUE® SOUTH WINDSOR, CT 06074 f�dsox co�� TELEPHONE (860) 644-2511 January 25, 2018 VHB ,. Attn. Mark Grocki, PIE �"k 100 Great Meadow Road, Suite 200 Wethersfield, CT 06109 1 Re: WPCA Approval- Evergreen"Grossing Retirement Community P&Z Application#17-38P Dear Mr. Grocki: The South Windsor Water Pollution Control Authority, at its Special Meeting on January 9, 2018, gave approval for connection to the Town's sewerage system for proposed 1183,682 sf senior independent living facility to be known as the Evergreen Crossing Retirement Community located ai 900 Hemlock Avenue, South Windsor, CT, and as more specifically shown on plans entitled "Site Plans, Evergreen Crossing Retirement Community,900 Hemlock Avenue,South Windsor",prepared by VHB,Wethersfield,CT;Project No.:42263.00, dated 9127/2017; Drawing Title "Utility Plan", Drawing No. C-04.0, Revisions Dates: 11/30/17. This approval is subject to the following conditions: 1. A copy of a 20' access easement from Hemlock Avenue to SMH 2 as depicted on the site utility plans; 2. The sewer lateral, pump station and force main will be maintained by property owner up to the point of discharge to the public sanitary sewer; 3. Generator backup for the private pump station; 4. Provide maintenance plans and contact information for pump station and oil/grease separator, 5. Wastewater pollutant levels shall conform to Town discharge limits; 6. Discharge flows shall not exceed 16,000 gpd without WPCA approval; 7. A cp nection-charge�of$3,845/buildable acre,or applicable rate,at,time of connection;' Ot? 8. sm �A 9 5 of 61% $1,�f 7yor applicable rate at time of connection; 9. Technical approval of the Town of South Windsor Engineering Department; and 10. Final Authority approval and acceptance of the sanitary sewerage connection will be conditional upon the installed sewer line having been inspected by the Town staff, and upon the written verification of the Town staff that said sanitary sewer line was installed in substantial conformance with the design plans approved by the Authority, and meeting all regulations and appropriate technical specifications relating to sanitary sewer construction. This approval letter must be superimposed on the final approval plans. Very truly yours, s Richa d ries, Ch Water P Ilution Control Authority \ RA:ead } ' cc: Michael J. Gantick, Director of Public Works Jeff Doolittle, Town Engineer/Assistant Director of Public Works Michele Lipe, Director of Planning Chris Dougan,Chief Building Inspector