HomeMy WebLinkAboutSeptic New 520 Burnham Street J
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Department of Pollution Control
SOUTH WINDSOR, CONNECTICUT
DRAIN LAYER'S PERMIT
Application for Permit to Install or Repair Individual Sewage Disposal System
Fee Paid $....pld :...,lirrr,j... By ................................................................................................................................................. Permit No. .......:i.:::..:...:,............
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Date ...December 12, .19' 8,., ,..„
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein
for repair ......... or construction of an individual sewage disposal system concern mg which the following
llowmg
I,
information is submitted:
1. Owner of Property ..A. J. Ter1Azzi....}fealty..................... Address of Owner ...S�.p...Burnham...Street..............................
.
2. Location of Property ........Burnham...Street,....South...Wind.P. '........................................................................... Lot No. ...... ....................
3. Type of Structure .........Commerical...Building................................................................................................................................................................................
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ...........:�..............................................................................................................................I...................
5. Number of Bedrooms .......::..-..............................
6. Average Daily Flow .........2 ;.'A.::............................
Manufacturer and
7. Liquid Capacity of Septic Tank .......1,000............................... Material of Septic Tank ....Arrow....Cnacx'.ate....Fr.QdUC.t&..
8. Soil Conditions: Type of Soil :....... . ,..'..tl.l.......... :.......: .�.:.,.0 fy...... :-....i. .. :.,xs.. .....7.x. :.l.....:/:.�........�..................
(Sand, Gravel, Clay, etc.)
Maximum ground water table ..............�/,.. ..............:5.... ........................................
......................................................................................
9. If not served by public water supply:
Distance from Owner's well .........ki..'kizi......... .::.
From adjacent wells .............................................................................................
10. Distance to nearest water course, drainage ditch, storm drain or embankment ........ J.................................................................
11. Percolation Tests: Time for 1" drop in soil test ..........1..i.:�:........x:. :.:.:..:.........:.s:.:�.r.:.. :<....1... ..:.:..; A..................................................................
Classificationof soil ....................................................................................................................................................................................................
12. Minimum square feet of effective seepage area required ........................1..a!:.....%jZ.......,.............................................................................................
13. Leaching System: Number of trenches .................:l............................. Length ................2...'Y.......................... Width ......... .:....................................
Total ................................................ Other .........................................................................................................................................................................
14. Plot Plan Attached. ...............................................................
15. Layout Approved. ....................................................................
16. This permit expires ...................................................................................................................
Sigma S1141/......:. ............... .............................. .. .. .. ...y...�..............�?...0r�...47,.�.``O......
(Licensed Drain La er
Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances
........................................................................................................................ 19...1....b..... By ................................................................................................................................................
PollutionProblem abated Date ................................:...................................:......... ................. :1...::r .l::. r:-:..::: ................ ........................................................
Inspector
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER . 7, Ter I i zz_i Qea
TYPE OF WORK tiew
DATE PERMIT PIPE
INSTALLER-rcL, ra v'16 -
INSPECTOR 40, 0. DRAWN BY Q,D .
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TOWN OF SOUTH WINDSOR
LTH DEPARTMENT
Application for permit to install a new epair 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
Tony Cra:parotta 73 Colony Rd S . Windsor CT 289-2541 000050
Name, Address, Telephone Number, License Number
hereby apply for a permit to construct/repair a subsurface sewage disposal system located at
92 0 Bilrnham St . , S . Windsor, CT 06074 and owned by A_.T. Ter Ii7..7.i Realty
Street, Address, Lot Number Name
920 Burnham St - , S _ WindGor- , CT 06074
Address
Information to be supplied by Applicant:
Type of dwelling Commercial If non-residential, estimated daily flow
Residential,Commercial,Etc.
Number of bedrooms Size of lot
Number of fixtures above basement 6 2 112 Sinks & Toilets
Tubs,Sinks,Toilets,Etc.
Number of fixtures in basement, if any 0 0
Pumped or gravity flow,
Type of water supply Public 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 round water maximum ground water ,
9 Y 9
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
Signature of Applicant&License Number
Tony Craparotta #000050
For Office Use Only
Permit issued by Date
System installed by
Final Inspection Approval Date
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION ,,c
OWNER _e -z-t- i 1 da 4-1 c.
TYPE OF WORK
DATE PERMIT - PIPE
INSTALLER
INSPECTOR DRAWN BY ��J•
TOWN OF SOUTH WINDSOR
APPLICATION FOR SITE INVESTIGATION AND PERCOLATION TEST
,supplied by Applicant; -
, --assl of Applicant �i�sPix z r`
A of Property ,rwlhac�,. t;' $k!G
Address, Streee,,—Lot Number
�e and Address of Owner
Site of Lot Type of Water Supply
zgnature of Applicant Date
reformation to be su lied by Health De artme`rit: .
ascription of Property. O
oil .Conditions; -
bservation Pit YAl Observation Pit #2 Observation Pit #3
to a3 Frat'd fill Aga a to to
54 ,Ay t,Cay b
ec-_to % Me L r a, to to
i, tri,�N^ soil- c-pP x.6 v
to
to - to to
t4 t0
- .—to—
o-of-Percolation
Tests:
Jest Water Time Rate Test Water Time Rate
,)le k De _th Time Level Interval Drop Min./In. Role. Depth Time Level In.terva.l Drop Min./In.
(I
es .-% __iq
-
�- 409v4
-sign Rate PC:, ✓"+bA Design Rate
-marks a S
_sts conducted by Date
proved for septic system - yes no
gnature -of Sanitarian Date