HomeMy WebLinkAboutSeptic New 50 Barber Hill Road A W N S,.
Cn
wC, 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
SOR-CO TELEPHONE 860 644-2511
PERMIT TO DISCHARGE
Approval is hereby given to 50 Barber Hill Road,in accordance with the Public Health Code,
Section 19-13-13103e(h)to discharge to a subsurface sewage disposal system located at 50
Barber Road,in the town of South Windsor,CT,that will receive treated domestic sewage from
a:
Three(3)Bedroom residence
Permitted Volume/Design Flow=375 Gallons per day
*In order to provide a sufficient factor of safety, it is recommended that the average daily
discharge not exceed 2/3 of the design flow or 300 gallons per day.
Operation and Maintenance: The septic tank shall be inspected regularly and cleaned as
needed,but not less frequently than every five years. The septic tank has an effluent filter.
Effluent filters require periodic cleaning.Failure to clean the filter could result in a backup of
sewage into the building or effluent breakout.
Special Requirements and Restrictions: 1.Wastewater(backwash) from a water treatment
system cannot discharge to the subsurface sewage disposal system. 2.Use of a kitchen garbage
disposal is not recommended. 3. Signs of malfunction or failure should be addressed.
Exceptions:
Date of Final Inspection: June 19, 2009
Inspected by: Robert De Vito,R.S.Environmental Health Officer
Signature: Date:
TOWN 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 SstemJnstalle licensed in the State of Connecticut, I
X c s� RT 2��ao� �6� g yC > s� / >�j Fr�oa�/6-63' _'n<�
Name, Address, Telephone Number, License Number
hereby apply for a permit to construct/repair a subsurface sewage disposal system located at
SO B,fn ang LG 'Oe_'d and owned by TV iZllor/�
Street, Address, Lot Number Name
Address
Information to be supplied by Applicant:
Type of dwelling X'6/y62;?Z� If non-residential, estimated daily flow
Residential,Commercial,Etc.
Number of bedrooms Size of lot
Number of fixtures above basement
Tubs,Sinks,Toilets,Etc.
Number of fixtures in basement, if any ,
Pumped or gravity flow,
Type of water supply �&) t) . If private,type of well
Public-Private
Information to be supplied by Health Department:
Soil type at various levels
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
Yes,No
Height of system above ground water maximum ground water
ledge , impervious soil layer
If automatic closing is required,description
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 Lic SOS Date
Signature of Applicant&19Kense Number
For Office Use Oniy
Permit issued by Date
System installed by
Final Inspection Approval Date