HomeMy WebLinkAboutSeptic Correspondence 1096 Ellington Roa 10*N Sf4
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1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
f�OSoa-CO .TELEPHONE (860) 644-2511
PERMIT TO DISCHARGE
Approval is hereby given to 1096 Ellington Road,in accordance with the Public Health Code,
Section 19-13-13103e(h)to discharge to a subsurface sewage disposal system located at 1096
Ellington Road,in the town of South Windsor, CT,that will receive treated domestic sewage
from a:
Four(4)Bedroom residence
Permitted Volume/Design Flow=600 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
P q (backwash)
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: October 5,2009
Inspected by: Robert De Vito,R.S.Environmental Health Officer
Signature• Date:
SAND GRAVEL
Quality Washed Sand&Stone Since 1917
SOIL GRADATION REPORT Date: 08/1/2009
Gradation ASTM D-422
Project: Dunning Washed Concrete Sand Project Number: N/A
Client: Various Report Number: 09-105
Use: Concrete
Spec A : ASTM C-33 Source: Pile
GRADATION RESULTS
Sieve# % PASS SPEC- A
(#4) 96.79 95 * 100
(#8) 83.3 80 * 100
(#16) 69.49 50 * 85
(#30) 53.29 25 * 60
(#50) 28.55 10 * 30
(#100) 7.57 2 * 10
(#200) 0.82 0 * 5
Complied with Spec A: YES
Soil Description : Light Yellow/Brown Sand -Trace fines _
Sampled by: Anthony Moura
Tested By: Brian Brooks
Reviewed By: Blair Crane
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w° 1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074
r�OsoR•co TELEPHONE(860) 644-2511
Septic System As- Built Plan
Street Address D b '4j Date
Permit Number
New Septic System air of Septic System Alteration of System
Number.of Bedrooms or Design Flow of Building
Type of system installed
(e.g.stone trenches,infiltrators,galleries)
Square footage of system:Total length _Widthy
Effective Area 0 C�
Capacity of Tank SW New Existing
000 pum
Length of house sewer pipe��� S�,� �ltj q elz j'Tilaai
Minimum distance between septic tank and foundation
Minimum distance between leaching field and foundation
Minimum distance between sewage system and nearest well
Public water supply
Minimum.distance between leaching system and property boundary
Curtain drain required? Yes No
Minimum distance from leaching field to drains
(curtain drain,foundation,stormwater, etc.)
1
Septic System As- Built Plan
Address , 4-13 N o Date /() S D 7
Location of System L a AC)kS
.(N, S, E,W, front,back side of house)
Draft a substantially correct drawing showing separation distances of the septic system
installation. Include all of the following information to provide an accurate record of the entire
system location:
At least two.sides of the building nearest the system, septic tank,house sewer,distribution boxes,
trench ends,dry wells, curtain drain,potable watersupply wells and any other features affecting
the system and its location.
Installers Nam ,
Installers Address /Z (,�, Oyu
(street, city,state and zip code)
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Distance from corner A I
Distance from corner B /
Distance from corner C
Distance from corner D
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TOWN OF SOUTH WINDSOR
ALTH DEPARTMENT
Application for permit to install a new/ ep r subsurface sewage disposal system. To the Health Department,
Town of South Windsor.
Fee Paid Date Permit Number
s a subsur ace sewage disposal xstem installer licensed in the State of Connecticut, I
Name, Address, Telephone Number, License Number
hereby apply fortL ae it to construct/repair a subsurface sewage disposal system IQcated at
C)5 c �l �r►S'fa�n rcy and owned by nnn4c., ndbldne,l` ,%
Street, Address, Lot f4umber Name
CAym1 _
Address
Information to be supplied bXApplic�nt:
Type of dwelling Z!S) �A If non-residential, estimated daily flow
Residential,commercial,Etc.
Number of bedrooms 3 Size of lot
Number of fixtures above basement
__/1,, �1 Tubs,Sinks,Toilets,Etc.
Number of fixtures in basement, if any T�r��� r
Pumped or gravity flow,
Type of water supply G rk N' d . If private,type of well
Public- rivate
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 Date eq
S n ure of Applicant tLicense Number
For Office Use Only
Permit issued by Date
System installed by
Final Inspection Approval Date
Town of South Windsor
Town:
INVESTIGATION FOR SEWAGE DISPOSAL SYSTEM
Owner: 4 Date:
Location: Soil Tests Observed By
PERCOLATION TESTS
Hole# Pit# Hole# Pit Test Pit Depth
Presoak D hours- Presoak Presoak hours Ledge Seepage
Depth / '' Mark�rl70;Sr Depth Mark Mottling Roots
D L De th Observation
Rate min/in Rate min/in
Test Pit Depth Test Pit Depth
Ledge --�C7 Seepage / Ledge Seepage
Mottling Roots AJA Mottling Roots
Depth Observation Depth Observation
L
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Property I Location Date
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LOCATION DRAWING
` Special Conditions Conclusions
System design larger than 2,000 g.p.d. Suitable for sewage disposal
Water supply watershed
Possible seasonal high groundwater Unsuitable for sewage disposal
Watercourse, marsh or pond
Possible seasonal flooding Additional investigation required
Limited suitable area
Excessive slope (over 25%) Retest during wet season
Marginal soil (less than 5 ft)
Shallow ledge (less than 5 ft) Monitor groundwater thru wet season
Underlying tight soil (less than 4 ft)
Other Engineer's plan required
Testing For: New Lot/System Repair/B100a/Other
Design recommendations J9I—,M 7-6 lie 5a&n e O
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Investigated by: Title:
Date