Loading...
HomeMy WebLinkAboutSeptic Repair 64 Barber Hill Road 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 system installer licensed in the State of Connecticut, I 3<cilV lq3 01 c>,f'"2d /r?cl /�/IR�J & a ,,Vq b'r;1-169a -361112 Name, Address, Telephone Number, License Number hereb apply for a pe it to construct/repair a subsurface sewage di posal system located at `I )6*(Zbc2 VI'\ and owned by cAQNS Street, Address, Lot Number Name Address Information to be supplied bxApplicant: Type of dwelling Kos . If non-residential, estimated daily flow Residential,Commercial,Etc. Number of bedrooms y 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 ou 10 C 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 So Type of syste,001 I E�,S 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 A4,6 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 Date ��� Si nature of Applicant&License Nu ber For Office Use Only Permit issued by Date System installed by 'cam 5 C�P^OLZ" +� Final Inspection Approval Date 1�2�^dam r►�� h� a I' /I�' aT�v i`l.t n t-rd � IL S AT 'iW obS.14F ICUT 1}EYAItxSNEiT() T+t3ELTC HEALTH NAN�E SCo7T sow VT)r�TT0A31�T4: TdC1i5B ft© T 1 �UGi /C� 3 7i?92 flf 3£47 21 l�� _g PRoiE. 6N 3UB SCJR�ACI SEW I r.,iSIALL�R, �3 N Z d . Q .O A s i O o _ V ~ MaoWO co Cl) `a co L Jit co c W co LO O o m Cl) Molloy, Catherine From: Cal[Center@CBYD2.com Posted At: Friday, January 04, 2008 2:57 PM Conversation: Locate Request-20080101603 Posted To: CBYD Subject: Locate Request-20080101603 (CALL BEFORE YOU DIG - CT) 01/04/2008 14:56:39 -5G -BB -C1 -CW -GV -OT 3-SW SWINDS -T5 -------------------------------------------------------------------------- ***** ROUTINE ***** TIME. .14:56 DATE. .01/04/2008 REQUEST NO. . .20080101603 LATITUDE. .41.8572223 LONGITUDE. .-72.5303058 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . . 64 STREET. . . .BARBER HILL RD NEAREST CROSS STREET. .MILLER RD -------------------------------------------------------------------------- TYPE OF WORK. . . . .EXC TO INST SEPTIC SYSTEM & LEECH FIELDS AREA IS MARKED. . .YES REMARKS: WORKING OVER THE ENTIRE PROP ----------------------------------7--------------------------------------- START DATE. . . . . .01/09/2008 START TIME. .07:00 CALLER. . . . . . . . . .SCOTT BOROWSKI CALL BACK. . . . . . .8-5 PHONE #. . . . . . . . .860-871-1690 FAX #. . . . . . . . . . .N/A ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .BOROWSKI EXCAVATING ADDRESS. . . . . . . . .183 OLD STAFFORD RD CITY. . . . . . . . . . . .TOLLAND STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06084 -------------------------------------------------------------------------- EXCAVATOR DOING WORK. .SAME ISSUED TO: DATE: TIME: BY: DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY: CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: - PERSON CONTACTED: PERSON CONTACTED: 8 DEC-13-2006 1:55P FROM:DRUN - 860 653=194$ T0:2918191 p,2 IMTL A"uritte information you can rely on. Soil Gradation Report GRADATION ASTM D-422;WET WASH ASTM D-1140 PROJECT: DRVN ENTERPRISES PROJECT NO.; 7352 CLIENT: DRVN ENTERPRISES REPORT NO.: 010 LAB NO.: 21826 DATE: 09/08/06 USE:. SEPTIC FILL SAMPLED BY: CLIENT SPEC A: CT D.O.P.H. SOURCE: E.WINDSOR SAMPLE: B GRADATION RESULTS SIEVE# %PASS SPEC.A 75 nun (3") 100.0 100 4.75 mm (#4) 100.0* 100* 2.0 mm (#10) 93.5* 70-100* 425 pun (#40) 43.8* 10-50* 300 pun (#50) 24.7* 150 µm (#100) 8.2* 0-20* 75 pun (#200) 3.4* 0-5* COMPLIED WITH: SPEC A: YES ...AS PER GRADATION ABOVE SOIL DESCRIPTION: RED/BROWN SAND;TRACE FINES;TRACE GRAVEL oQ coy�� *PERCENTAGE OF SAMPLE.LESS GRAVEL. REMARKS: PERCENTAGE.GRAVEL • #4 j REVIEWED BY: C. ,, Iry f pc: John R.Gunning,DR E crpriscs � �Y 1i,00 vI A., bh Zy,�q 8TRR d . �oNAL.Q� Independent Materials Testing Laboratories,Inc. T 860.747.1000 mail@imdet.eom Test reports may not be reproduced except in full with 57 N.Washington St.,P.O.Box 745,Plainville,CT 06062 F 860.747.6455 www.imclt:t.wtn approval of tMTL All results relare to the items tested.