HomeMy WebLinkAboutSeptic Repair 426 Barber Hill Road qO$N Sf4
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w 1540 SULLIVAN AVENUE a SOUTH WINDSOR, CT 06074
f�Osoa•c° TELEPHONE (860) 644-2511
PERMIT TO DISCHARGE
Approval is hereby given to Daniel Warren in accordance with the Public Health Code, Section
19-13-11103e(h)to discharge to a subsurface sewage disposal system located at 426 Barber Hill
Road,in the town of South Windsor,CT,that will receive treated domestic sewage from a:
Single family residential building containing 5 bedrooms
Permitted Volume/Design Flow=625 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:
None
Date of Final Inspection: August 22,2008
Inspected by: Ro ert De Vito,R.S Environmental Health Officer
Signature: Date: p —
TOWN OF SOUTH WINDSOR
HEALTH DEPARTMENT
Application for permit to install a new/repair subsurface sewage disposal system. To the Health Department,
Town of Sou Windsor.
Fee Paid 0 Date �� 2v-08 Permit Number
As ' a s bsur ace sewae disposal ystem installer licensed in the State of Connecticut, I
Name, Address, Telephone Number, License Number
hereby apply for a P,� mit to construct/repair a subsurface sewage disposal system located at
4� k 'N ha- I,�l( 1 and owned by p'('104 PeA
Street, Address, Lot Number Name
Address
Information to be supplied b App�cant:
li Type of dwelling ��5 k,I ,. . If non-residential, estimated daily flow
Residential,Commercial,Etc.
Number of bedrooms S Size of lot
Number of fixtures above basement
Tubs,Sinks,Toilets,Etc.
Number of fixtures basement, if any ,
1��
ped or gravity flow,
U
Type of water supply 1C, 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 leachin area(equired
Size of septic tank Type of system
CIA C�U 4 ("
Trenches,Dry wells 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 b C-7 7 Date
y Signature of App scant&License Number
For Office Use Only Q�
Permit issued by
Date Z
System installed by
Final PP
Inspection Approval Date
P