HomeMy WebLinkAbout2016-10-17 - 1909 Main Street - Septic As Built PlanTown of South Windsor —Health Department
1540 Sullivan Avenue,South Windsor,CT 06074
Phone:860-644-2511 ext.250 Fax:860-644-7280
APPLICATION FOR APPROVAL TO CONSTRUCT A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Application/Permit #:
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Application is hereby made for an approval to construct a subsurface sewage disposal system for a:
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(Resrdential Building,Restaurant Retail Building,etc )
located at:SOC}”5W”?5%
(Street Address Lot Number SubdiViSion Name Map,Block Lot etc)
New System Addition Repair X 76—/1 LiOn ther
Owner n I lwli;Address [6&3 /7£m 5/”5‘4/TelNo
Installer él/lmléyvjw/SM/j/R Address Iv /K/Uri/lit
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In accordance with detailed information stated below:/.
Application fee pai a N l B Signed Z (Owner or duly authorized representative)
GENERAL INFORMATION
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Soil Tests Conducted (Date :Lot gize cqft
Area of Special Concern (Y/N)‘If yes,Reason(s):
Basis of Design (#of Bedrooms,Restaurant Seats,Building Size,etc):
Plan 150
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Engineered Required (Y/N):z If yes.Name of Engineer:
Address of Engineer:
Design Plan Approved (Y/N):Date of Approved Plan:Revision Date:
Type of Water Supply If well,has location been approved (Y/N):
Well Dn‘ller’s Name:Address:
OFFICE USE ONLY
Approval to Construct issued by:Date:
(Director of Health or Registered Samtanan)
Signature:Title:
County Line $eptic LLC
Septic system repair proposal
Plan by:Christopher Sutyla CT License #6152
Tank Replacement Only
Date:10/17/2016
OWner:Brenda Koboski Property:1909 Main St,South Windsor
Design Criteria:5 bedroom house,1500 gallon 2 compartment septic tank,no garbage disposal,no curtain drain,drilled
Well
Proposed:Pump,crush,and fill the existing septic tank.Install a new 1,500 gallon 2 compartment concrete septic tank
with an outlet filter.Risers will be installed on the inlet and outlet side of the septic tank.The existing sewer line from
the house will be connected to the new tank with 4”sch40 pipe set at a minimum of a %”per ft pitch.The outlet to the
existing distribution box will be connected using 4”SDR3S.There are no wells within 75ft.
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