HomeMy WebLinkAbout1997-3-3 - 2092 John Fitch Boulevard - Septic ApplicationTOWN OF SOUTH WINDSOR
HEALTH DEPARTMENT
Application for permit to install a new/repair subsurface sewage disposal system.To the Health Department,
Town of South Windsor.
Fee Paid Date Permit Number
As a subsurface sewage disposal system Installer licensed in the State of Connecticut,i
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Name Address TelephoneNumber LicenseNumber
hereby apply for a permit to construct/repair a subsurface sewage disposal system located atwagmmF’H/f/c andownedby fl 'Cria,7i7ua74 a”
Street.Address,Lot Number‘
L§‘/‘79’£d:‘)'1 '/
Address
Name
Yes,No
Height of system above ground water
ledge ,impervious soil layer
lf automatic closing is required,description
,maximum ground water
l
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 FROM PLACE TO PLACE.
NO PART OF THE SYSTEM SHALL BE BACKFILLED UNTIL IT HAS BEEN INSPECTED AND APPROVED BY THE
SANITARIAN.
SPECIFICATION AND REQUIREMENTS AS STATED IN THIS PERMIT MUST BE MET AND ANY CHANGES MUST
BE APPROVED BY THE TOWN SANITARIAN BEFORE FINAL APPROVAL WILL BE GIVEN.
THIS PERMIT SHALL NOT BE CONSTRUED AS PERMISSION TO CREATE A NUISANCE CONDITION NOR IS
THIS SYSTEM GUARANTEED BY THE HEALTH DEPARTMENT.
Permit Received by Date‘gnatu o Applicant &License Number
ForOffice Use Only
ermit issued by Date
stem installed by a /4 J f7'i/Wi/f
11 Inspection Approval f3
Information to be supplied by Agplicant
Type of dwelling a [M .lf non-residential,estimated daily flow
Residential CommerCIal Etc
Number of bedrooms Size of lot 5%?"rm/qa
Number of fixtures above basement f at 7—;lkz’t'vw //1’i 72 éllbf
Tubs,Sinks,Toilets.Etct
Number of fixtures in basement,if any Lv/tfts éi’V
Pumped or gravity
Type of water supply /qé ’51;L .If private,type ofwell
Public-Private
Information to be supplied by Health Department
Scil type at various levels J M /”t r l?a7:7
Percolation rate .Square feet of effective leaching area required
Size of septic tank 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
Curtain drain required
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Engineered Systems —Pump Systems -Our Specialty
Septlc Tanks Vacuum Cleaned
Llght Excavatmg Portable T011ets 20 ?2 34‘7/‘77‘2 WW
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WAREHOUSE POINT,CT.06088
(860)623-2313 '(860)875-7472
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SEPTIC SYSTEMS OF ALL KINDS
LIGHT EXCAVATING &CONSTRUCWON
PORTABLE TOILETS
PIPPIN &SON SEPTIC SERVICE
37 WOOLAM ROAD
EAST WtNDSOR.CT 06088
DtCK PIPPIN PETER PIPP!M
(203)6232313 (203)8757472
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3mm CONDITIOE
system desiw urge:-than 2,000 g.p.d.
sigh gonad water (less than h§rt.)
waterccurse,msh or pad.
umted suitable are;
Mum sou.(3o -so ms./1ncn)
Underlying tight soil (less than ll»ft)
-2‘Investiaxciou fa:-ss'age Diggagaisyst.
Vate:sappy aux-shed:
Possible seesoul high
aound water
Possible seuonnl :looding
Slope over 15%"
Shelia:ledge (less than 7 ft.)
Other
COUSIM ON
suitable tar sewage disposal
unsuitable to:sewage dispcsal
Additional imestiation required
Retest during vet season
Wer's plan reqeired .
Investigated by
Confirmed/witnessed by
Comments :
Bench .mrk location
Title
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MAP REFERENCE:
PROPERTY LINES ARE YAKEN FROM MAPS
ENTITLED CADASTRAL MAP TOW OF SOLJ‘H WINDSOR HARTFORD
COUNTY CONNECHCUT‘SCALE 1 -‘OO CA1ED MAR 30 1988
SHEET 142 OF 150.PREPARED BY QUINN \SSOCIATES.HORSHAM.PENN.
I
2.TOPOGRAPHIC INFORMATION IS TAKEN F?OM MAPS
ENTITLED 'TOPOGRAPHIC MAP,TOWN OF S)UTH MNDSOR,HARTFORD
COUNTY.CONNECTICUT.SCALE 1":100’,EATED MAR.30,1988.
SHEEY 142 OF 150.PREPARED BY OmNN '\SSOCIATFS,HORSHAM.PENN.
3 MAP OF MNDSOR ESTATES EAST at SOUTH W‘NDSOR CONNECTICUT-
CONTAINING 158 ACRES SCALE 1 —100 ATED 1918 PREPARED BYmsSURVEYANDuAPHAsBEENPREPAREDINACCORDANC£mm sccnous 20~30084 mRu 20—3008—20 OF m5 H F ROSENBERGERREWLAnonsOFcouuEcncmsnfzwenass-'ummuu STANDARDS FOR SURVEYS AND MAPS IN THE srATE OFcowecncm‘As ENDORcED av ME CONuEcncUT Assocmnou or LAM)amvsvoas INC.mls PLAN WAS comma)FROM OTHER MAPS .RVCORD RESLARm Aim/0R 0mm souRCEs OF mmRuAnon.n Is N01 To BE cmsmum As 4."PROPERTY OF MLUAM FLORENCE—SOU"H MNDSOR,CONNECHCUV.mvmcFIELD suRvnBEEN oenmcouAY DISCLosz.As ma Rum o:A HELD sunwv.AND ls suuct to w cumcs As Au AccuRAr:SCALE ‘"=40'.DATED MNEEEQ5O.PREPAR€D BY SIDNEY MOSES.
5.'TOWN OF SOUTH WNDSOR—PLAN SHOWING LAND TO BE ACQUIREDToMa01wKNom6:AND SEUEF,mls M p srAnnALLv CORRECV As Norm HEREON.FROM SIMON REICHMAN BY THE STATE OF CONNECTICUI EAST HARTFORD12352~SPRINGFIELD ROAD ROUTE US No 5 SCALE I ‘40 DATED JAN 1940,
ICHARD P.MARTEL UC.No.PREPARED BY WILLIAM J FOX
I m OWW§NOTE mm UWTY
LOCATIWS AS 940m W 3m m K31AVWIMATION.ALL MWG UYMTIS
WLD BE FIELD MINE!)PRDR TO CONSTRUCTTONZAU.UWTIES ARE TO K STm IN THE FIELD
3V A LICENSE UND SURVEYOR WOR TO
CWSTRUCTIM.J.THIS PLAN IS INVALJD UNLESS IT DEANS THE
REVISONS GRAPHfé‘‘SCALE
40 0 2O 40
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(860)29I—a755
GSIQI’Irofesslonals i c.E .I(.MI engmears o plonn s o surveyors
16.5 south qatelllte road.south wmdsor connecticut 06074
cowu PLAN mARm FOR‘raé‘
Ronald Gmnnamore
2092 John Fitch Boulevard
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1.PROPERH LINES ARE YAKEN FROM MAPScut/c f ENnTLL‘D "CADASYRAL MAP.TQWN 0r SOUIH MNDSOR,HARTFORD
COUNTY‘CONNECTKIUT"SCALE 1":100X DMED MAR.30,1988.
AN SHEET 142 OF 150.PREPARED BY QUINN ASSGCMTES,HORSHAM.PENN.
2.YOPOGRAPHzc {NFORMAHON Is TAKEN FROM MAPS
ENnTLED "TOPOGRAPHIC MAP.TOWN OF‘SOUTH WINDSOR,HARVFORD
SHFEI ‘42 or 150,PREPARED BY QU'NN ASSOC'MES.HDRSHAM,PENN
3.“MAP OF MNDSOR ESTATESn-EAST &.SOU1H MNDSOR.CONNECTICUN
CONTArNvNG 13.8 ACRES"SCALE 1'x‘oé'.DATED 1938.PREPARED Bv
COUNIY.CONNECTzcuT".SCALE 1":100’,DATED MAR.30,1988.
REGULATTONSTHI$SURVEV ANo CONNECTICUT
MAP HAS BEEN STATE
PREPAREDAcENcTEs
TN PACCORDANCE‘MTNTwM STANDARDS
WITH SECHONS FOR 20‘5003‘!
SURVEYS AND
{HRU
MAPS 20v3008~20TNTHE STATE OT OTTHE H F ROSENBERGER .
CONNECTICUT”AS ENDORCE‘D BY THE CONNEC‘JCUY ASSOCTATTON OF LAND SURVEYORS INCT THIS PLAN WAS COMPlliDFROMOTHERMAPS,RECORD RESEARCh'AND/OR OTHER SOURC£S OF INFORMAHON.VT 15 NOT TO BE CONSTRUE'D AS 4,"PROPERTY OF WTLLTAM FLORENCE~SDUTH WINDSOR.C0NNECTTCUT"C
HAWNG BEEN OBTAINEG AS NE RESUL Y OF A FIELD SURVEY.AND IS SUBJECT 10 SUCH CHANGE AS AN ACCURAIE SCALE T"=4o‘.DATED JUNE T950.EREPARED BY SIDNEY MOSESFIELDSURVEY”AV DISCLOSE.
5 "TOWN OE SOUTH wTNDSOIi—PLAN SHDWING LAND To BE ACOUTRED
FROM SIMON RETCHMAN BY THE STATE OF CONNECTTCUT—EAST HARTFORD1OFMYKNOVHJ‘DGL AND BELIEFL THIS MAP BSIANTIALLV CORRECT AS NOI‘ED HEREON
¢T2552 ~SPRINDEIELD ROAD—ROUTE us,No.5”.SCALE T‘=40’.DATED JAN.T940.
RICHAPD P MARTF'L AC No PREPARED BY WILLIAM J Fox.
I.UNLESS OTHERWISI MOVED.{mSTlNG UIIIII‘TLOCAIIONSASSHOMAREBA§C ON BFS‘I
AVAILABLE INFORuAHON.ALL BOSI‘ING DYIIJTIESSHOULD8EHELDVFRIFTEDPRIMIOCONSTRUCI'ION2:ALI wumm ARE To DE STAxED IN TME HELD
BY A UCfN§0 IAND ShRvtYm PRIOR TE)
CfJNS‘I‘RLICTION.5.IHIS PLAN IS INVALID UNLESS .I DIARS MiIHPRESSIONSIAI.AND (RIGNAL QGNAWREOF"HE F’ROFESSIT’INAL ENQNEER/SURVEYDR
9.5 VISIONS?
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GRAPHIC SCALE
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MAP REFERENCE:
1.PROPERTY UNES ARE TAKEN FROM
ENTHLED 'CADASTRAL MAP,TowN
COUNW.CONNECHCUT'.SCALE 1"=1oo',
SHEET 142 OF 150.PREPARED BY
2.TOPDGRAPHTC INFORMADON Is
g‘ENDTLED ’TOPDGRAPHIC uAP,TOWN
COUNTY.CONNECDCUT‘.SCALE
sHEET 142 or 150.PREPARED BY
3.’MAP OF MNDSDR ESTA§F€"S—EAST»
mus suavEY AND MAP HA3 BEEN PREPARED m Accommoc mm secnous 20—30094 mRu 20—3006—20 or THE gwTAgggNgg‘RBGEASRES
‘SCALE 1
REGULADONS OF coNNEcncuT STATE AGENc‘Es -'Mmmuu STANDARDS FoR SURVEYS AND MAPS TN THE STATE or ‘-~-
cormzcncm‘FROM OTHER MAPSAs ENDoRcm,RECORD aYRESEARCHm:co~~€cncmAND/0R OTHERAssocumouSOURCES or OF LANDTNFDRMATTDN.sunvEvoas TT mc.Ts NOTms To PLANBE CONSTROEDwAs oowmLED As 4.~PROPERTY OF MLLIAM FLORENCE—SOU
HAMNG BEEN DQTATNED As THE RESULT OF A HELD suRvEY.AND IS ‘xcr To SUCH CHANGE As AN ACCURATE SCALE 1":40'.DATED JUNE 1950.
HELD suRvET MAY OlseLosE
../"5."TOWN OF SOUTH MNDSDR~PLANA““AL”“mm As "mm ”EREM FROM SIMON RETCHMAN BY THE STATE
42E.»—SPRINOFIELO ROAD-ROUTE US.No.
Dc,No.PREPARED Bv _mLLIAM J.Fox.1T1
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LARAq &BETTY SELLERS
MAPS
b
or SOUTH WINDSOR,HARTFoRD'
DATED MAR.3o.1968‘
DuiNN ASSDOATES.HORSHAM,PENN;
TAKEN FROM MAPS
DF SDUTH WINDSOR,HARTFORD
1'=TDD‘,DATED MAR.JD,1988.T
QUTNN ASSOCIATES,HORSHAM,PENN.
s;s<TH MNDSDR.CONNECDCUT-k1 00’.DATED .‘938‘PREPARED BY
VTH MNDSOR.CONNECTVCUT ‘.
PREPARED BY SIDNEY MOSES
SHOWNG LAND TO 8E ACDUTRED
OF CONNECTvcuT-EAST HARTFORD
5".SCALE T'=AD‘,DATED JAN,1940.
HI:@A,,1'-1860 couPumN PLAN PREPARED EDR
ROH31d Glan§8m0f€'V
2992 30h“Fitch Boulevmd
SOUTH WINDSOR 'OONNEC'NCUT.
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gritiuLiDUS‘EUgEEéOARvEERTTEAEgETiTTOARKET?“EON“SETRE‘ELT‘TDDN
AVAILABLE MORNATTON.AL EXISTING UTTLmES
BYcmsvmucnmAuwNw LAND su RVEMI PRIOR YO
Ju'mm;‘PQW£LW£DO“WG"'EES;&BAE:\RJRSEM
or m:mmu MEANT/Em.
GRAPHIC SCALE
4o :‘‘T»2°‘0
1 inch a.4O feet.
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165 souTh Testeune road.south wTnasor.connecticut 06074
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