HomeMy WebLinkAbout2011-6-30 - 24 Green Lane - Pool B100a Application�`erh �r�r
Town of South Windsor — Health Department
1540 Sullivan Avenue, South Windsor, CT 06074-2786
r;►Ff _- Phone: 860-644-2511 ext. 248 Fax: 860-644-7280
B100a APPLICATION
(for building conversion, change of use, building addition, accessory structure and lot line change)
S.tsinrigrrl nnnliratinn ralviaw times is S-lll dli if enil tacfino it naarlurl- arlrlitinnul time will he rennirecl to rnrnniete the review orocess.
2y 61-
Street Address of
Proposed Activity/Structure
I' �. C, C.ty �. � Io / Z V Co ►- �.r.�. . d1li � F&O Y3 Z b �,/3
Owner Name Mailing Address Telephone
/,�{ h 44v.� _ l off/ 4 z►'c� Dr. � a l� C3� l � 3Y2 �1arY
Applicant Name (�f d f rent than owner) Mailing Address Ore y22, Telephone
Describe the proposed structure or activity with dimensions:
r
619 lrc' 0 5 IS'/ 3Z
Residential Number of existing bedrooms 1
Non-residential Please describe
Property served by on -site well? Y S) If No, List name of water company
Property served by septic system? Y N Age of system .L4M k 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 testing,
As property owner or duly authorized representative of the property owne.&&f the above referenced property, I agree to allow the
health department staff to enter the above referenced property as part of&'D
ft
process. I further agree that
this authorization to enter the subject property may extend through a peilnea 1 OOa application
approval and affirm such with m sip -nature below.
%
Applicant Signature: eat
FOR OFFICE USE ONLY:
Approved:Y N By: Date: 4l
Comments/Conditions: 1% 1$
rA
v OO\ v. Ye A' L
4-23)1,
May 2011
F O
R OFFICE USE O N L Y
Application coFlete:
Form:
Plot Pian:
Building Plan:
Information Needed Y N
Notified Applicant
Soil Data Available
Test Pits
Perc Test
Notified Applicant Scheduled
Need Soil Data Y N
Activity
Building Conversion
Code complying area found
Y
N
Change in use
Will proposed change result in expanding system?
Y
N
Addition w/increase
of flow
Addition w/no increase
of flow
Addition w/no increase
OR potential repair area found that meets the following conditions:
of flow
1. Replacement area provides 50% of effective leaching area
Y
N
2. Replacement area provides 50% of MLSS requirement
Y
N
3. No exception(s) to well separation distance is required
Y
N
4. The addition does not reduce the potential repair area
Y
N
5. The addition does not increase the a design flow of the building
Y
N
Aeeesseq-Aucture
Q\
Code complying area?
Potential repair area identified?
0
N
N
Lot siz duction 1
Code complong area?
Y
N
Lot line change
Will this activity negatively impact existing sewage disposal system?
Y
N
General Information
Will this activity negatively impact existing well(s) and/or drains?
Y
N
Are separating distances okay?
Y
N
Notes:
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Page 1 of 1
McGann, Sherry
From: Oliva, Pamela
Sent: Friday, March 30, 2012 2:47 PM
To: McGann, Sherry
Subject: Pool/fence on septic tank at 24 Green Lane
Hi Sherry,
I took a call this afternoon from Maria Sarin, who told me she had a pool put in, and a fence surrounding
the pool. She said they gave the fence installers a plot plan, but now she is being told the fence is on the
septic tank, and she is wondering what the code is. The inground pool was put in last year, and I'm
assuming the pool is not too close to the septic tank. Her number is (860) 432-0431. Let me know if you
need anything from me.
Pamela A. Oliva
Zoning Enforcement Officer
Town of South Windsor
1540 Sullivan Avenue
South Windsor, CT 06074
(860) 644-2511, ext. 251
"s\\ts- cam-, - k —Ax- WV Cox\
4/2/2012