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HomeMy WebLinkAboutSeptic New 73 Griffin Road ONE LOT PLAN REVIEW Reviewer Date Location of Property: i/i /�'/� . Redline Owner:�1�� Engineer New Repair Other Date Received by., Date Referred to State.Health Dept Reason for Referral: Well Exc HQli ing Tank _ Easement Large System>2000 gal Common System Other Area of Special oncem: � High Groundwater Ledge Fast Perc<1 mmrin_Slow Perc>30mmArf_ Steep Slopes_Other Not an Area of Special Concern_ Building Property Use: Residential: Single Family V Multifamily­Accessory Unit #of Bedrooms— Non-Residential: Use Indicated: Basis of Design for Determining Flow: - Daily Flow _De si n Flow Test Pits Observed By: f r Date: Suitable: Perc Test By: Date:-q-i7-aq .Suitable: MLSS: HF x PF xFF Restrictive Layer in.Perc Rate: minrnch N f NO I a Slope % Ct► j� Buildings Sewer: Pipe Type Invert At Building 1199-D Joints 0 Invert at Tank -.D Length -4?6, _ft. Drop Diameter in. Slope in/ft Cleanouts t4l,tq Sewer Okay?.Yes o — Septic Tank: Size . 1000 alions Material e D ICJ 2 Compartment Properly Baffledy� Distance to Building Depth to CI out_ �- / ft Cleanouts Required Yes No Diameter 17" 24" Cleanouts Provided pn PIan46:�2-4"Inlet to Outlet- Tank OK?Yes o — Leachina System:. Design Flow- bdrms. S� GPD Proposed System T Perc Rate —*^ZL-- miN'nch Total Linear Feet�Other Application Rate(Tab e 7 0 8) Effective Leaching Cr it/F t Required ELA F ELA Provided SF System Size Okay?Yes o_ Mee MLSS?Yes No Distribution: Serialk`".. Level Other Benchmark?Yes —NO' Spot grade on Plan?Yes _No Amount of Cover Over Leaching Field inches Shown on: Proposed Contours_Yes _No Trench Detail Yes No_Cross Section Yes _No Bottom of Leaching System: <8 feet bel Final Grade?Yes _No 100%Suitable Reserve Area?Yes No._ Requires Select Fill?Yes _No WwwriieldswiC&ownhatt\m"k Common Fomu\ONE LOT PLAN REVIEW.doe Leachinfa Field: Trench 1 2 3 4 Highest Existing Grade Proposed Bottom of Trench Depth Depth OK Y / N Y / N Y / N Y /.N Pump/Siphonc Size of Chamber_gallons NUM pumps Alarm? Leaching Pipe Capacity, s Gallons/Dose Pipe Capacity Dosed 0 Manhole to Grade?Yes o Specifications(pum a rate,maximum head,siphon size,etc.)?Yes _No PUMP SIPHO TISFACTORY? Yes No Forcemai Protected from:Freezing?Yes _No_ Backsiphonage?Yes _No_ Filled Systems: Material Specifications/Sie equirements? Method and%Comp n Percolation Test' i I Required?Yes _No_ Grading Confined to Site? Yes _No Minimum Separation Distances: Septic System to: This Lots Well ft. Neighbor's Well ?'> Building Served .I j:e_ ft Acc ft ory Structure ��-� Water Service Line_ >i�_ft Ground Water Drain =�ff Property Line i -7—ft Nearest Open Wetland or Watercourse_ i ft Bottom of Leach System,Minimum 18"Above Maximum Water Table? No Bottom of Leaching System,Minimum 4'Above�Led�rock?Yes �_ LEACHING SYSTEM SATISFACTORY? Yes :1. 0— Ground/Surface Water Drains: Foundation Footing Drain Provided?• Yes V. No_ Elevation Curtain Drain Required? Yes _No J� If Yes, Pipe Invert Elevation Detail Provided?Yes No Drains to Surface? Yes . No_ If Yes, Describe(including location) . Curtain Drain Demonstrated Effective? Yes _No_ Date Ground Surface Property Graded to Drain? Yes No GROUND/SURFACE WATER DRAINS SATISFACTORY? Yes No Water Supply: Public Water Supply?Yes ✓No_ Public Water Located within 200 feet?Yes _No_we-0*0' On-Site Well Yes _No . Design Withdrawal Rate over 10GPM? Yes- Minimum Separation Distances: Well to: _ This Lots Septic System ft. Neighbor's Septic ft Ground/Surface Water Drain ft High Water Mario of Surface Water.Body or Wetland ft .Site Graded to Drain Away From Well?Yes _No Does well radius need to be increased?Yes _No_ Pere rate,Ledge,Withdrawal Rate? Other Source of Pollution(e.g.in-ground fuel.tank) ft Miscellaneous: Note Regarding System Staking? Yes ._No_ Note Regarding Depth of System Into Original Grade? Yes _No_ House Plan Reviewed Yes _No_ Complies with Site plan Yes _No_ No.of Bedrooms Large Tubs Yes __No_ Potential Bedrooms: Bonus Room,Basement,Other \\nmwfieldserverkownhalN Nth\Common Forma\ONE LOT PLAN REVIEW.doe �pW H SFq •. w� 1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074 r�OsoR•c° TELEPHONE(860) 644-2511 Septic System As- Built Plan Street Address 7 3G p Date 7o�} Permit Number New Septic-System Repair of Septic System Alteration of System Number.of Bedrooms 3 or Design Flow of Building Type of system installed 5_4 n yl o + r e n d ps Lleoel S yS (e.g.stone trenches,infiltrators,galleries) Square footage of system: Total length Width Effective Area Capacity of Tank I ppD g New Existing Length of house sewer pipe 3o' Minimum distance between septic tank and foundation�' �u � '�r•.) Minimum distance between leaching field and foundation Minimum distance between sewage system and nearest well f(1 Public water supply����� Minimum.distance between leaching system and property boundary Curtain drain required? Yes No ✓ Minimum distance from leaching field to drains 7zset (curtain d foundation, tormwater, etc.) Septic System As- Built Plan Address r -� C, ,L- �1 Date o 9 Location of System S F 5 (d e 0� 'no tk c .(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 water supply wells and any other features affecting the system and its location. Installers Name TQ k >°r r- License ense Nurn er 3 Installers Address (street, city, state and zip code) !7, sb - x � s --U hq 44 Bistafwa from corner A S, ' 4 4" �� ! 6 n 43 I few 9" 10 1 . e from comer B S,1 ' 6.51 9 ' 5'$, S/, le) 1 �� 961 901 411 Distance from corner C Distance from corner D ,O*N Se 7-own O-P sbatA V&U&Ot • w� 1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074 SOR-CO TELEPHONE (860) 644-2511 To: Aeschliman Land Surveying,PC. From: Robert De Vito, South Windsor Health Department Date: May 1,2009 Re: Review of Subsurface Sewage Disposal System Plan dated 4-6-09 for 73 Griffin Road, South Windsor The above referenced plan has been reviewed for compliance with the State of Connecticut Public Health Code and Technical Standards and is returned for the following reasons: 1. Please submit the raw data for the perc tests. 2. Please expand the language for the well abandonment to read"Location and Abandonment of existing well to be performed by licensed professional well driller" 3. The cross-section for the leaching trenches must show 1 '/a"aka No. 4 aggregate or 3/a"aka No. 6 aggregate. 4. As a reminder,please submit a red-lined plan for review after the system is staked. PERCOLATION TEST DATA Proj. No. ...Z01 2e c r'ra T� ............................... Run by ............I........................... Reduced by ... ........................ 4. -u't-`i Date ... ......................... Dot* ......... ..... I t .. ......................... TEST HOLE No. t TEST HOLE No. � FILL IN DISTANCES ON FIGURE BELOW. ALL FILL IN DISTANCES ON FIGURE BELOW. ALL MEASUREMENTS TO BE IN INCHES. -'7� AakQS MEASUREMENTS TO BE IN INCHES. - Ground �d r Ground Surface , Surface FirRATE t First ®Re\Tes` \ of k \,Test \ ater r \1h/a`ter\ PRESOAK STARTED° ... : PRESOAK STARTED°TIME DISTANCE BELOW NAIINCH) TIME DISTANCE BELOW NAIL. (INCHES) (INCHES) ?s. . . . Z1'/g.. . . . . . . . . . . . ©. .. . . . . .3.7 . . . . . . . :31.,�,. . . . .. ... . . ... ... . .. ... Z 4'. . . . .-?.� . . . . . . . . . . . . . . . .R/kq. . ... . . .- r: . . . . Z:� , . . . . . . . .. .. . . . . . .. . .. . .L'1.. .t 1 . . . . . . . . . .J,/7. 4f U.. . . . . . . . . . . . . .. . . . . . . .31 G5.1 . . . . . . . ..3/Ib . . . . . . . . . . . . .. . . .1.h. . . . . . . . ....+J* . . . . . . . . . . . . . . . . 5�. . . . /y, . . .41 . . . . . . . .Z y,/+ . . . . . . . . . . . . . . . . . ...,i. . . .t5. ..wt S`LT. . . . . .T:7 . . . . . . . . . . . . Se T�°... , . ...... . . .. . . . . . . . . . . . . . . . . . . .46 . . . . .Z9 %4 . . . �• . .., .. 711-1 ,7.-A D. . . . . . . . . . . . . . . . . . . �1►`47 . .`��. . . . . .. . . .$"'. . . . . . .��. . .. . . . . . .. . . . 40 .. . . . . . . . . . . . . . ... ... . . . . . . . . .��. . . . . . . . . .�O:��. . . A vo . . . . . . . . . . . . .�. . . . . . . .. . . .. . .. . . . . . . . ��:. . .�, �, .. .�. . . . . . . . . . . . . . . . . . . . ,. . . . SZ . . . . . . . .. �:°3�4. . . . . . . . . , .. . . .. . ....... Cj ..,. . Z� +rs. . . . . . . . . .. . . . . . .$.tit.. f+::. : .�:�. . .... .. . . . . . .. . . . .8,5 �- .. ... . . ��` . . . . . . . .. . . . s 7�.. . ... ... 5 a Water Table Encounters ? YES NO....K.. Water Table Encountered? YES..... ...�.r. NO . x.. i �° �S� SO IN�LL LOCA-Ie_Q i TOWN OF SOUTH WINDSOR HEALTH DEPARTMENT Application for permit to install a new/repair subsurface sewage disposal system. To the Health Department, Town of South Windsor. Fee Paid Date i Permit Number As a subsurface sewage di posal system ins II r licensed in the State of Connecticut, I Name, Address, Telephone Number, License Number hereby ap ly fo a permit to construct/repair a subsurface sewage disposal system located at 7'3 Cs and owned by Gu�;r,� 4 ►ems . Street, Addrag, Lot Number Name Address Information to be suppl dby Ap c nt: Type of dwelling If non-residential, estimated daily flow Residential,Commercial,Etc. Number of bedrooms 3 Size of lot Qe . Number of fixtures above basement Tubs,Sinks,Toilets,Etc. Number of fixtures in basement, if any , n Pumped or gravity flow, Type of water supply CAL 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 GUARA TEED BY TH HEALTH DEPARTMENT. Permit Received by Z553z Date ` Signature of Applicant&License Number For Office Use Only Permit issued by Date System installed by Final Inspection Approval Date tO'q N Se � down O-P Soa;(A ?di 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074 f�OSox-co TELEPHONE (860) 644-2511 PERMIT TO DISCHARGE Approval is hereby given to 73 Griffin Road,in accordance with the Public Health Code, Section 19-13-B103e(h)to discharge to a subsurface sewage disposal system located at 73 Griffin Road, in the town of South Windsor,CT,that will receive treated domestic sewage from a: Three(3)Bedroom residence Permitted Volume/Design Flow=375 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: Date of Final Inspection:July 6,2009 Inspected by: Robert De Vito,R.S.Environmental Health Officer Signature: Date: