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HomeMy WebLinkAbout2011-3-30 - 116 Ident Road - Septic ApplicationTOWN OF SOUTH WINDSOR HEALTH DEPARTMENT Apphcatlon for permit to Install a newef.ajrEubsurface sewage disposalsystem To the Health Department Town of South Windsor Fee Paid 1.}Date QO/nme //PermitNumber A6 w ‘ As a sub urface sewa e disposal s stem installer licensed in the State of Connecticut,i gazw i i “mow/{J ’77 ivmegic‘zxi r {ft/VAN €€éorkiw ‘xHo )0;7/ Resudential Commercual Etc Number ofbedrooms \5 Size of lot Number offixtures above basement Number of fixtures in basement,ifany Type of watersupply .ifprivate,type ofwell Tubs,Sinks,Toilets,Etc. 7 Pumped or gravity flow, Public-Private Information to be supplied by Health DepartmentHT’pLggg‘A“«y’MSta m dcwwywgtc—(NixarQA\:’\Soil type atvarious levels Percolation rate Size of septictank Square feet of effective leaching area\re‘&uired Type of system Trenches,Drywells,Etc. Number of dry wells,trenches,etc.Distance between individual leaching units.Distance from well on same property on adjoining property Curtaindrainrequired Yes,No Height of system above ground water ,maximum ground water ledge ,impervious soil layer If automatic closing is required,description i A PLOT PLAN INDICATING LOCATION OF PROPOSED STRUCTURE,WATER SUPPLY,SEPTIC SYSTEM,EM- BANKMENTS,WATERCOURSES,PROPERTY LINES AND ALSO INDICATING EXISTING AND PROPOSED FINISHED GRADES MUST BE SUBMITTED BEFORE THIS PERMIT CAN BE ISSUED. THIS PERMIT IS NOT TRANSFERRABLE FROM PERSON TO PERSON OR FRO PLACE TO PLACE NO PART OF THE SYSTEM SHALL BE BACKFILLED UNTIL IT HAS BEEN IN PPROVED BY THE SANITARIAN. SPECIFICATION AND REQUIREMENTS AS STATED IN THIS PERMIT MUST BE M BE APPROVED BY THE TOWN SANITARIAN BEFORE FINAL APPROVAL WILL BE GIVEN Permit Received by l 7A w 31%‘Jé'Date ‘30 MAE)II Sig ature of Applicant &License Number THIS PERMIT SHALL NOT BE CONSTRUED AS PERMISSION TO CREATE A NUISANCE CONDITI O ‘ THIS SYSTEM GUARANTEED BY THE HEALTH DEPARTMENT. Name Address TelephoneNumber License Number hereby appiy for a permit to constructrepairjaHfIcedr24 subsurface sewage and owned by located at Street,Address Lot Number Name grvw‘nL/L/ Address Iniormatron to be supplied by of M?‘'Cm“pp cantr For Office Use Only Permit issued by v...I y ix“/*’Date T'Slgll I" System installed by Vxm D‘Vvtv'exb i l FinallnspectionApproval N\I>v DateRyd‘kl‘A’t,by“f rv’IWoA MW‘'\\kAWW D I§x I rm)”iii ta‘tcied ,1 t?cggcw “KwVt’g)fu‘\€x‘n‘f2/Qt ”THY V‘LC/IW mo > 2 2 m o ‘ Ou J : - r, i m . n r 4 c n § An i a - lm v i i r 35 - 9 . - Zn q . $1 6 1. 0 3§ I L ¢ .rViZ ¢§ 33 5 .n m l A C b F 4 ar 5 9 § 3 hg m v ’ l e NE V n0 ¢ o c w wi r u L z r or m §F m t l $ r F/ « F Q f p w w mr n n . . p2 5 A1 9 3 .3 3 \® \ ¢ l $ 4 PP I 93 $ . vg ’ r ’d 4: 3 2 G 1 u ’L a ‘ c w . . . .m 41 F c c 0 1 i $u c w an A : Fo y . i % i w c v I . ‘t f . //// ‘I /I .g r w g6 p. um u m H u l o d .3 3 0 . I ’g m h ! »p * ¢ ,w r E2 3 Jo Ga p i «. a v L a w q .3 4L 6 \q v i L on dv c ‘ ? (L i v u o n z «$ . - w o . . $0 . . m ‘1 ‘i w i «1 . va r V. )0 ; 4t . . L . .H ., . . V . . | . _ | ‘ Q . I / . / + r L N J . 3 x / . hn z w a é ‘ c o J E L $1 . 1 2 . “ ¢¢ ¢ 03 S ? bu t . :L ? “1 5 . 2 1 : . r fa ) 0 r . ni r v f4 9 i £ ¢s § r rm r r t i a 1‘ 4 wi r u z z F i VO r m mr n c , . ru u h Te ‘ q 53 v \® \ ¢ l n 4 ra . ‘ $§ o 1+ : - r. d m . n . . 4 . . ¥ o +. - Ev - 15 v . ¢» L ¢ . ‘ E Eu a u - 19v. “i v Io 33 E L ¢ .rriz mm m ‘ o 3: » 1 Km l A C C h ‘ @r c N P N k r w hg v . 1 0 m § “g n c w Vm F $ L 1 5 r F. “ m . n F P $ zf r ,u At a h c G I ‘ 9¢ ¢ 4 ,m JI F c c a u x v2 §+ . $ ra g e ? ‘l ? \E * N’ 9 ¢ y 4 .4 0 U& P , L “c a v L A w Q 4v AL m ‘ 42 L 0“ g? (g i v u O R . 3. 0 . , i m . . $9 m .. F r Fn . . $ _ b 4+ . N+ . @. n . a gh uL Qx w 0. 4 . Pc t F Q N I m A v / x .r 19 d I .r l / (x , . we . xv ? ‘ (J ; $a £ F nu hn z v 4 6 c n 4 5 L 9‘ 3 ¢m w Uv 4 > : r ho t t l e co oc z - v 0. 1 1 Q3 . a \\'h‘33"‘5V\\Qf M “Tkrowal Q Q {30 369Llt3ySem D /3o>< was SW+31nd mp/ O gem a?+3 IV/ec/w/%A Srmo/(1 UP NMCWC($¢n&‘p LSL‘QC)Sy5"{em a ©yqajdeé naw/o/Pb'pmm d bdx hi/+od 50X £3 W"#\H’wwgaw crp 7M1$Jl30>< QwGA Mmr. §g 99$mum Wm “yew Cb ‘Qor M tags (5UQ\§> W§Co$€€k*6 08 GSA-(a gQ,w9\®$W RLQ CA?vx\o&\aa9\ 9‘\x\M Nb % 2