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STATE OF CONNECTICUT
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EXCEPTION
An exception is hereby granted t0 the requirements of Technical Standards IIA of Regulation 19—13—B103
of the Public Health Code of the State of Connecticut for the REPAIR of a subsurface sewage disposal
system at 110 IDENT ROAD in the Town of SOUTH WINDSOR,CT.It has been found that the well
located at THE SUBJECT PROPERTY is unlikely to be polluted in such a manner as to cause a health
hazard,provided:
1.THE SEPTIC TANK SHALL BE LOCATED NOT LESS THAN 71 FEET TO THE EXISTINGPRIVATEWELLATTHESUBJECTPROPERTY.
THE SEPTIC TANK SHALL BE WATERTIGHT.
THE EXISTING SEPTIC TANK SHALL BE PROPERLY ABANDONED.
THE INSTALLATON SHALL BE INSPECTED AND APPROVED BY THE LOCAL HEALTHDEPARTMENT.
5.AN APPROVED AS-BUILT PLAN SHALL BE SUBMITTED TO THE LOCAL HEALTHDEPARTMENTBEFOREAPERMITTODISCHARGEISISSUED.
6.ALL VARIANCES GRANTED SHALL BE NOTED ON THE PERMIT TO DISCHARGE.
Recorded at the Department of Public Health,Hartford,Connecticut.
(mu/aw Z7,Z009
Sanitary Eng'eer III
Environmental Engineering Program
(860)509-7296
Telephone Device for the Deaf:(860)509-7191
410 Capitol Avenue -MS #5I'SEW
P.O.Box 340308 Hartford,CT 06134
Affirmative Action /An Equal Opportunitv Employer
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