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HomeMy WebLinkAboutSeptic Repair 63 Colony Road SOUTH WINDSOR HEALTH DEPARTMENT APPt.I:A"0`►t ?4U. Il4PE5TIGATZON 'FOR SEWAGE DMCM SYS."V owmw LOCATION 6 3 cvLd"y Rcl pEFiCGL'ITZOA TF5'1'3: (Record &U. tests) `a 3-rPf SOIL MOISTM E: Dane (higa, 7 wo pi-elf04s TEST RFADIMS EC%z #2 aCLE #3 mxz Time Reading Time Reeding Time Rosding "Mme Resdiru 39%y - /0 F ry TABULATION OF TEST R WUL.TS p=.s� ?�Saimum .percolation Rstie H= Localdon 1 2 3 CBSERQATIZON FITS: (Record all pits) 1-9 3- Ground Tinter Table-. Ste P= 4 PIT a Prr C � PIT L Z04D (ouh^ I . Dy 3l �- pri�jkM ojPu�� s�4 9�Z, C'WfSr aLcwa 4Vw w a !t! Y u m o lfle 6 TABUTATI OR OF OUST) ^ION P'I".'S Ground Soil Pit Locaticst Dew L=4_8_,At Water �-�" B • C D i`• CV'! W4 #2 SOUTH U TH WINDS OR R HEALTH •2• F Iavestigatvou Sor ::+age Disposal. Sys-t- DEPARTMENT SPIXIAL CONDITIONS System design larger tban 2,000 g.p.d. Water supply -atershed EL&h ground water (less tban 4j ft.) possible seasonal high ground water Watercourse, marsh .or pond possible seasonal flooding LUdted suitable ores Slope over 15%'' Marginal soil (30 - 60 mins./iach) Shallow ledge (less than T ft.) Underlying tight soil (less than 4 ft)_ other CONCLUSION Suitable for savage disposal Unsuitable for savage disposal Additional iavestigstiea required Retest during wet season Engineer's plan required . DESIGN RECa44MM►TIORS Investigated by l�. E�� Title Coati=ed/Wltnessed by Title Rench.mark location elevation TOWN OF SOUTH WINDSOR HEALTH LTH DEPARTMENT Application for permit to install a new ep sewage disposal system. To the Health Department, Town of South Wind or, Fee Paid 10 a' 2 f{6S�b/Y Date d-13-iS` Permit Number qa subsurface sewage disposal system installer licensed in the State 'of Connecticut, I __CAV\�k,\ S" O b 0 Name, Address, aelephone Number, License Number hereby apply for a permit to construct/A�air subsurface sewage disposal system located at 63 and owned by A klk- ?c �� ova. H-c-4 'es Street, Address, Lot Numb Name Address Information to be sup lied by Applicant: Type of dwelling estc�-evlk 'c 1 If non-residential, estimated daily flow Residentia,Commercial,Etc. Number of bedrooms -3 Size of lot Number of fixtures above basement 157 5 Vv,,_1C.e, ` =:- 6�lit, 5 Tubs,Sinks,Toilets,Etc. Number of fixtures in basement, if any Pumped or gravity flow, Type of water supply 2 u-lo ( � 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 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 I 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 �'�'�. s P�'l J�, 00 * / 7 Date NiQbature of Appliclnl&Licen a Number For Office Use Only Permit issued by Date System installed by Final Inspection Approval Date a N �d col dh y 5 •,l v-4� Viµs I � / !ryk / a i2sog vo �\ �v NOTES Kc, sc4r- SOUTH WINDSOR HEALTH DEPARTMENT a = c(ran Vat LOCATION C13 PA- OWNER TYPE OF WORK Qzggaj r DATE I - PERMIT PIPE - _INSTALLED N r g r d --- INSPECTOR DRAWN BY E. 24.2 ---j 29t r� r Inv Al i O � T� 4,444-n,J Oft PjZE-o.gsr D2y 1n1E4.d.S (/CcrfG2AS �c.. e.'E�'r J NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION 23 OWNER Gu TA,+ara�v �c.o2.9 /a. TYPE OF WORK �q 2-al DATE s / G PERMIT �c-�� PIPE ¢ " a. 4. - - , INSTALLER ADAM e'A,74 2 - INSPECTOR DRAWN BY r - -- WA 110R, F: 7-7 \A down of OoW4 Vinbsor Department of Pollution Control SOUTH WINDSOR, CONNECTICUT DRAIN LAYER'S PERMIT Application for Permit to Install or Repair Individual Sewage Disposal System Fee Paid $...f. :................ B y ............................................. Permit No. '7 :- : :..................................... Date .. :::..0F?. ....;:..`,j.:....:............................. Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein for repair K. or construction ......... of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Property ....................4R ........... Address of Owner ...... : ...:Cw p f!.....�� .�n..................................... y ................ 2. Location of Property .................................... ....................................................................................................................................................... Lot No. .............................. 3. Type of Structure ............... ^' .c oa Efi ................................................................................................................................................................................................................:...... (Dwelling, Commercial Building, Store, etc.) 4. Number of Families or Persons to Occupy Premises /.=:A.AA,11.Y............................................................................................ 5. Number of Bedrooms ................................................ 6. Average Daily Flow ................................................... Manufacturer and 7. Liquid Capacity of Septic Tank ......................................................... Material of Septic Tank .......................................................................................... 8. Soil Conditions: Type of Soil ............................................................................................................................................................................................................................. (Sand, Gravel, Clay, etc.) Maximumground water table ............................................................................................................................................................................. 9. If not served by public water supply: Distance from Owner's well ........................................................................ From adjacent wells ............................................................................................. 10. Distance to nearest water course, drainage ditch, storm drain or embankment ....................................................................................... 11. Percolation Tests: Time for 1" drop in soil test ......../.ckpaA................................................................................................................................................... Classificationof soil .................................................................................................................................................................................................... 12. Minimum square feet of effective seepage area required .......A.1,;�:...... Q.....F..?`..................................................................................................... 13. Leaching System: Number of trenches ................................................ Length ................................................... Width ................................................... Total ................................................ Other ........................................................................................................................................................................ 14. Plot Plan Attached. ........€ . .............................................. 15. Layout Approved. .................................................................... 16. This permit expires ....... . ... ,xc:.YJ.... .............................................................. Signature !?`.. s?.::�:�,,. ...t.. ..' ... � .................. I (Licensed Drain Layer) -`'• L ' r"E=' Installation Completed, Inspected and Approved in accordance with State Public Health Code and Local Ordinances .................................................................................................................................... 19.................. By ................................................................................................................................................ Pollution Problem abated Date y`............ ,....r......................................... ,. inspector AR 2.3 r I o� 0 I,{S O� TWO C�� '7 S Ca- G4LLJn/ Lo P/aE-e.o$il b'ey (�ca/A/L iJS C�o..ierY�a'�'J J NOTES " SOUTH WINDSOR POLLUTION CONTROL ^lor 7c; �,raer�, LOCATION 63 ego 4AIY Aoz �/ 2. OWNER 6ao.r ,ocwld &,",4 4, TYPE OF WORK 81 2.01 DATE 5 G PERMIT 7c-a' PIPE ¢ " o, a -�-- --- ---- INSTALLER - ,� INSPECTOR DRAWN BY N /F NEW BERRY 194. 94' SECOND PIECE VOL. 287 PG. 276 OD 0 ► N /F KRAHULA gooN / F C Vol 36, r. I i i t CONC.PATIO 95 ' (around pool +4 +� FENCE N I 1 10'± — I e to—WOE _ — - -- I WOOD POOL I HOUSE InI z 50'R.Y ',� a o j coa rol CHAIN z LI NK i g FENCE 23' r FIRST PIECE 0 N VOL.287 PG. 76 N /F CRAF 3'oH. LOT B LOT No. 4 STOCKADE 0) FENCE O E.P O II 7 = I I cv A/C UNIT Mo 5• 24 f CONC.WALKp. i HOUSE i - PLANTER N _ jI N i 50' B.L. LEGEND: 19 B.L.= BUILDING LINE a 27 I I I R.Y.= REAR YARD CONC.O.P. SY.= SIDE YARD a STEPS I O-P=OPEN PORCH I 1 STONE RET. E.P.=ENCLOSED PORCH WANC• WALL A/C.=AIR CONDITION SUBJECT TO S.N.ET.Co. ` w j E/P=EDGE of PAVEMENT EASEMENT Va.I4 I RET.=RETAINING WALL , ,A9.392 STOVIINALLEf. \ mo 1 BIT.= BITUMINOUS CONC.=CONCRETE \ 1 O.H.=OVERHANG R.O.W.=RIGHT OF WAY ----____ 101.0 MA_to a COLONY ROAD MAP I S COMPILED FROM OTHER �.� MAPS, DEED DtMEN- AND OTHER SOURCES OF INFORMATION, NOT TO 'BE TRUED AS AN ACCURATE SURVEY AND SUBJECT. TO ._ CHANGES , AS A MORE ACCURATE SURVEY MAY _0SE.