HomeMy WebLinkAboutSeptic Correspondence 925 Avery Street gown. o-p SIOUA
y A. 1540 SULLIVAN AVENUE • SOUTH WINDSOR. CONN. 06074
R`a�P`"� AREA CODE 203/644-2511
Fax.# - 203/644-3781
FACSIMILE MESSAGE TRANSMITTAL FORM
Date:
PLEASE DELIVER THE FOLLOWING PAGES TO:
NAME:
ADDRESS:
FAX. #
MESSAGE FROM:
NAME: i�6 it
ADDRESS:
MESSAGE
NUMBER OF PAGES TO FOLLOW:
f
k
l7ell
10
i
I
o�
I � I
n
1 �
duo i
�)A-
o • � AFC , (1(� i rl
-ple,W
y �
�X
� I
a ----------
j I
#of
Post-it®Fax Note, 7671 Dat pages
! From
Co./Dept. )�• S Co.
Phone# Phone#
Fax# 7 _. Q Fax#
e �
ITIO-wn O-P Stwt&
u
s 1540 SULLIVAN AVENUE • SOUTH WINDSOR. CONN. 06074
AREA CODE 203/644-25n
Fax.# (203) 644-3781
FACSIMILE MESSAGE TRANSMITTAL FORM
Date /C�-
PLEASE DELIVER THE FOLLOWING PAGES TO:
NAME: �/^-� CA® s76-- �� -2`Z a
ADDRESS:
FAX. #: S/l /7/D
MESSAGE FROM: �I J
NAME•
ADDRESS:
MESSAGE
NUMBER OF PAGES TO FOLLOW:
If you did not receive all S^ pages (including the cover)
or if you have any questions, please call 644-2511 as soon as
possible.
s
y
Ile%10141)
j
yy
y wc, J4p .
OL per
—7Xeok i
l & L)
PLei All �, -�41%','�
��m
NO,
INPESTIGATICR FOR SEWAGE OTBPCSAL MIMI
Owner Y LOCAMOR
FEACOLA=OR TESTS: (Record all tests) /0 Ie2 SOIL MOISTURE:
�... "' med., loW, etc.
u :
f���T T REKbINGS 2rter' J 1
HOLE #1 Rt7Lc. #2 HOLE #3 Elm
Time Reading Time Reading Time Reading + ?ime Reeding
,ems J�`y .23f� c 1 NL �jy ft /v
�n
z lZ is Y,/�?- fir_ 1t z
21e G
TAEUTATION OF TrMT RMMTS
Depth Presoak Minim .PercolAtion Rate
Hole Location (Inches) Ers. ) (Mies./I:ch)
l -
2
3
CBSER7ATION"PITS: (Record ell pits) 0-7-3-5/ Ground Water Table:
DeLte near ;fax. Belov �i .,
O2L
PIT A FIT B P?T C I PIT D
E-ay F-;i�
la,
l TABULATTOF OF OBSERVAmIOR PITS
Gro=d Soil
Fit Locaticn Depth L_eIgP At Water At Mctt2_4 nz
A
B
C
D
Ove1'
$e'a3 BrMsposa". Yg'.c.
DEPARTMENT
SPIETAL CCn=ONS -
System jgsign larger than 2,000 g.p.d. Water supply watershed
High ground water (less than 14 ft.) Possible seasonal high
ground water
Watercourse, marsh or pond Possible seasonal flooding
Limited suitable area Slope over 15a'-
Marginal soil (30 - 60 mins./inch) Shallow ledge (less than 7 ft.)
Underlying tight soil (less than k f't) Other
z CONCLUSION
. :` Suitable for sewage disposal .
1
- Unsuitable for sewage disposal
Additional investigation required
Retest during Wet season -
eB=z er's plea required
DESIGN RMOVTMQMATIONS
ynvestigated by Title
Confirmed/Witnessed by Title
Comments:
Benchmark location Elevation
B'"7 H �� s!! '�A' ni!. !!mnp � R r y� !�i:. 4� Fid 9�.7 ! 11Y1�'.:if � y'1,. � 7•�'' Fg �'.���, i�
r IN
} r
ML
SPENCE WELL DRILLING
P.O. Box 200
1 Hampstead Road
West Granby, CT 06090
(203)653.6361
Ids �1v�� ST
�or r5-
ell
v
AuMv S-r
A14
► � 7
#of pages ( '
Post-It-brand fax transmittal memo 7671 :
Fromr=w l 1V r
To
v VP Co. _-• ,1
Co.
Phone# / l� 221
Dept. . �! /
Fax#
Fax# "I'x -N,
i P
tin
,r� T lot
r r
-
(
I (
F
LAQUL
?� v"or
a
i
i
i
j
! 14:
If
i
I
f
A
STATE OF CONNECTICUT
DEPARTMENT OF HEALTH SERVICES
ON—SITE SEWAGE DISPOSAL SECTION
NOTICE OF EXCEPTION
An exception is hereby granted to the requirements of Technical Standard 11A of
Regulation 19-13-B103 of the Public Health Code of the State of Connecticut for
the of a subsurface sewage disposal system
on the UJ sec.A AVeR l STREET
in the Town of Sow W►jy%,Sa R Connecticut. It has been found that
the well located at T4}fE S-i0asct, %S
unlikely to be polluted in such a manner as to cause a health hazard, provided:
PLe?,_yACETA1EWV* LEACA%*JG SgfMyr% ALE LOCIRZEA NdT
i, %a F6ET P&Pm Tilt Ex%rrWe& rAlf-CT W19U.
E*cCCAPT%o "taE SN A%L YK Wbl G Te'b
on T%E T6Rw►�T 1e '��SCNr�R6E�� -
-rKE IN S'TAu.AT%s.1 sKALL 8C lnlrpEc.TEa AW*b AYPIzoV_Wh —
jBq 1*46 Soy*r%% W jwbr* L NEAtzN �EPA�tw+nE.a�`
X)c
Recorded at the Connecticut Department of Health Service's; Hartford, CT.
0eVEmealt lox�lgg1
Date
Arthur J. stellazzo
On-Site Sewage Disposal Section
566-1251
Phone:
150 Washington Street—Hartford,Connecticut 06106
An Equal Opportunity Employer
• y
Y r
+ s
STATE OF CONNECTICUT
DEPARTMENT OF HEALTH SERVICES
ON-SITE SEWAGE DISPOSAL SECTION
NOTICE OF EXCEPTION
An exception is hereby granted to the requirements of Technical Standard 11A of
Regulation 19-13-B103 of the Public Health Code of the State of Connecticut for
the Rumut, of a subsurface sewage disposal system
on the wGKc%k -f4eP 'r( - 925 Met SwCET
in the Town of Sow vVtn►OsoR. , Connecticut. It has been found that
the well located at -r%4E s V YS a lecy- 'rows-sRr'i is
/!unlikely to be polluted in such a manner as to cause a health hazard, provided:
V `r"e RRe+.P`t,CEeerpr llgAC-6%%x& Sgrmyn 'sE %4CA'MCA Nor
L.02 !PhAwt So FSKT F&rm THE BX1f+T+1N4s ITYPI CT WEt:t,. _
( _j,L%. F.Yeg y%ap3s — -Mc c4AE sNA%A. laic 1wv%e.AT b --
Cn Tk 19 To ��SCM�AR66N -
-ME to TAALL EE WEPGcVQD AtJb Alb'PMOVF�
Sy T%6 So%RH W►N SO& NBAtT. & �EAARly+nWJT
Y, -
Recorded at the Connecticut Department of Health Services, Hartford, CT.
�nyEw�B�R t��,1gg1
Date
Arthur J. stellazzo
On-Site Sewage Disposal Section
566-1251
Phone:
150 Washington Street-Hartford,Connecticut 06106
An Equal Opportunity Employer
.e�+m ,I* SOUTH WINDSOR HEALTH DEPARTMENT A?FLICA' Ul NO.
•
n1y! IGATIOR FOR SEWAGE DISPOSAL SYSTM4
OWaer. to Y LOCATION
PEACOLATIOR TESTS: (Record sts) w-w SOIL MOISTURE:
a�=
dy, Date , med., lox, etc.
"fO F TEST INGS
HOLE #1 HOLE #2 nCLE 3 HOLE
Time Reading Time Reading Time Resding ' Time Reading
.2 u_ 1y tip'— z /v
-7 ILL
9 t�
C z
TABULATION OF T%—" T RESULTS
Depth Presoak Minimum .percolation Rate
Hole Location (Inches) Hrs. ) (M3ns./Inch)
1
2
3
OHSERVAT110N PITS': (Record all pits) o-23-9 Ground Water Table:
Date
OIL DE—qCRZP?'IO'N-3 .
PIT A PIT B PIT C PIT D
a-?�7& so t I d,E ?tea F
f� ►mod � dY lti�r� 6 F:!(
t-P
TABULATION OF OBSr.R IATIOR PITS
Ground Soil
Pit Locaticu Depth Ledge At Water At Mctt2-4 ng
A
B
C
D
Over