HomeMy WebLinkAbout2016-10-18 - 1 Buckland Road - Septic As Built Plan 00--26-'% 12:56 FROM
T-009 P0001/0002 F-492
0
Town of youth Windsor
Health Department
1540 Sullivan Avenue,south Windsor,CT 06074,
4' Phone! 860-644-2511 ext. 250 Fax. 860-644-7280
SEPTIC SYSTEM AS-BUILT PLAN
Date l t' ( Cs
Permit Number
Street Addre c �,lt 1�.,, ,
.,�, ( `7y
' New Septic system Repair of Septic System Alteration of
System
Number of Berlroorns OR X?esign Flow of OWWing
Type of System
Xnstalled 1y!
(e.g.stone trenches,infiltrators galerie a ,)
Square Rootage of System: Total Length Width Li
�I
Rtl(ecOve Leaching
Aresk
Capacity of Tank— C-ocl^ .W r Y Tank: New_-��— Rxdsting--
Length of House Sewer Pipe
Miniriium Distance;:Between Septic Tank&Foundation___
Minimum Distance Between Leaching Field&Foundation
Minimum 1'l Wanee Between;Sewage System,&Nearest Well
bl c after Supply «6
Minimum Distance Between Leaching System and Property Boun,da,ry � 1
Curtain Drain Required?_ .• '
i
Minimum Distance From Leaebing System to drains 6
(curtain,foundation)storm water,etc.)
RECEIVED
*DP..AFT DRAWING ON PSVERSE S)ODI OF po>K OCI 18 2016
SOUTH WINDSOR
HEALTH DEPT.
09-26-' 16 12:56 FROM- 7-009 P0002/0002 F-492
SEPTIC SYSTEM AS-BUILT PLAN (canumed)
Address G j+ � f ate 11 t Z 4
Location of System / �'�r� 'fn, fide off
W.,Fronk Back)
Draft a substantially correct drawing showing separation distances of septic system instillation.
Include all of the following idort.anion to provide on.necarate record of the entire system
location:
At least two sides of the building.nearest the system,septic tank,blouse sewer
distribution boxes,trench:ends,dry wells,curtain drain,potable water supply wells,and any,
other Features affecting the system and Its location.
l
lnstalliWs I LC6 License#_ 6,9 Lq
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Print Lookup Details Page 1 of 1
State of Co
nnecticut
Lookup Detail View
Name
Name
GERALD J WILCOX
License Information
lookup
Licensure
License License Expiration Granted License License Actions or
Type Number Date Date Name Status Pending
Charges
Sub-Surface 3108 02/28/2017 01/07/1985 GERALD J. ACTIVE None
Sewage WILCOX
Installer
Generated on: 7/13/2016 10:51:35 AM
httDs://www.elicense.ct.eov/Lookup/PrintLicenseDetails.asnx?cred=793487&contact=319 7/11/')016