HomeMy WebLinkAboutSeptic New 64 Greenfield Drive r
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property Address of Owner
2. Location of Property
Lot. No. /9
3. Type of Structure Tn No. of Bedrooms
1-3
(Dwelling,Commercial funaing,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ 0/Y
5. Plumbing Fixtures: Water Closets Urinals_0 Lavatories Bathtubs
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other — l
6. Liquid Capacity of Septic Tank Material of Septic Tank amend J
7. Soil Conditions: Type of Soil 44— Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches 3 Length /SSS ET Width 2.S FT Tota139-Cs9 FT
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
Aio2
CQ
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NOTES SOUTH WINDSOR HEALTH DEPARTMENT
LOCATION
OWNER
TYPE OF WORK
DATE >a—/S- PE IT PIPE
INSTALLER
INSPECTOR R)--) DRAWN BY f��
HEIGHT: GAS: `
CONDITION : SEWER :
REMARKS : PAS!E D ST:
moo. w„v.oso2 Nt�G,yrs
>1
f�
sr • �Z D
l F'd
tiIV
177
Flo ' z8;17
i. J ,
L 7,5 �.
i
,9 a 14
a /O P4
CaRE£NctELD UR1VC
OWNER: PLAN- OF LAND AT:
sAM L� 9___
ADoRESs:__� !�!��_.�! _._�_�_- --- ---_ So_-w�+.►�aL4-�. oN�+ _ --- DATE: pR��. !_9� £3 ._. _ 'SCALE, r
C-0UNTY 500K OF PL-ANIS.
FLAGE�-Na: L r NO: �.� � , �' � PL..A,fq Ne
� � � Al.�._, � ..►.
NCINCERtivC3 i✓`0M..P!^.Nf iMG_
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56.
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41
E a ON
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t
F,$ Scale - 40' in 'i".approx. SOUT}�INDSOR POLLUTION CONTROL
r f Septic is b Arrow ,end .,is ' �• :� �,.� o �� ,
tl f y � LOCNTION 64 „rPn:�.iel . •i .� s, '
4 ti 22 of 1 .000 gallon capacity. OWNER x. Chi Akers
TY PE,O F WORK
` 4 a DATE ";G-� 72 PERMIT PIPE' - '•
a i INSTALLER _
r
INSPECTOR DRAWN BY
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r,
rv�- ,-47 -
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P=� SOUTH WINDSOR HEALTH DEPARTMENT APPLICA
T
ION �NO.
IMESTIGATIOff FOR SEWAGE DMOCOAL SY , '— �--�
LOCATION -
PEACOL4TION TESTS: (Record all. testa) .27-g8- SOIL MOISTUTM
Date , med., G2i& etc.
V.
TEST READINGS
HOLE #1 36�-' 3= #2 fiCLE #3 E
Time Reading Time Reading Time Reading i Time Reading92r
4 s y�
LE
TABULAT107f OF TEST RrZt7-TS
Depth Presoak Mini-7- .Percolation Rate
Hole Location, (Inches) Ers. ) (Mies./Inch)
1
2
3
OBSER9ATION PITS: (Record all pits) c/-c�7'88 Ground water Table:
Date ;dear max. Below Max., l`tic
OTT, DF-qCRIP. 0*T*3
M A PIT B PTT C PIT D
b-S'`s Too� r
� s,/fy send
sib- 7 9ray �►�d sa.3d
y)v hro��/e
TABULATION OF OBSERVA'tTIOR Pi'.".S
Ground Soil
Pit Locatica Depth Ledge At Water At AM"ctt2-4
A
B
C
D
Over
r � ire SOU ill IV IAUjUh. tihAL I -�- ic►ves���T or Sev
DEPARTMENT &3e. gp° SYaT..e
SI-MMIAL CONDITIONS .
System design larger than 21000 g.p.d. Water supply watershed
ffigh ground Water (less than 14 ft.) possible seasonal high
ground water
Watercourse, marsh or pond Possible seasonal flooding
Limited suitable area Slope over I5%`
Marginal soil (30 - 60 mins./inch) shall ledge (less than 7 ft.)
Underlying tight soil (less than 4 ft) Other
-_
CONCLUSION
Suitable for sewage disposal
Unsuitable for sewage disposal
Additional investigation required
Retest during wet season
E gineer's plan required
DESIGN Rom/02AI-QU1ATIONS
fF
, � GGyy
Q44t/
Investigated by �� .� Title ff
Confirmed/Witnessed by Title
Comments;
Benchmarks location Elevation