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HomeMy WebLinkAboutSeptic Repair 325 Griffin Road -FORM.#2 State of Connecticut-Department of Public Health APPLICATION NO. INVESTIGATION FOR SEWAGE DISPOSAL SYSTEM Owner Location PERCOLATION TESTS:(Record all Tests) 1 l^ SOIL MOISTURE: (Date) (high,med.,low,etc.) TEST READINGS . .HOLE HOLE HOLE HOLE Time Time Reading Time .—Reading -Time ea �,,� TABULATION OF TEST RESULTS Hole- , Location - . Depth Presoak Time Percolation Rate : .A. OBSERVATION PITS:(Record all pits) Groundwater Table (Date) (Near tnaz.:,.Below etc.).. SOIL DESCRIPTIONS PIT , .PIT j PIT. PIT. ` 0_IZ "fuv C',Luskr TABULATION OF TEST RESULTS Pit Location Depth Ledge Ground Water Mottling 1/l/00 49 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 t Z/ � Permit Number As a subsurface sewage disposal system installer licensed in the State of Connecticut, I C_A-e-vw o'o to U 6 l.) %4"wk,ce (t—e &,L i n g 1,an ©y S FT q Name, Address, Telephone Number, License Number hereby apply for a permit to construct/repair a subsurface sewage disposal system located at 3 2 5 Gn 0- A f-A and owned by IM��awt►+��a �� Street, Address, Lot Number Name Address Information to be supplied by Applican Type of dwelling V_es��tv��^�• . If non-residential, estimated daily flow Residential,Commercial,Etc. Numberof bedrooms 3 Size of lot Number of fixtures above basement Tubs,Sinks,Toilets,Etc. Number of fixtures in basement, if any , Pumped or gravity flow, Type of water supply ey`P\` C If private,type of well Pubiic-Private Information to be supplied by Health Department: Soil type at various levels 0 1?" }Weso;1 I 2-Li tavtd'y cdyrCOLC , a 44 ZW caw,lac{ s� �A yr� Percolation rate 1- Lo . Square feet of effective leacLh`ing area required q S Size of septic tank 1000 Type of system ;'w��+ �Ak-o'r 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 groundwater , ledge impervious soil layer Nor�c 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 AV (DO 5$3 Date 0 11 (37 a Signs ure of Applicant&License Number For Office Use Only Permit issued by Date System installed by Qa» htw Co Zr h6." Final Inspection Approval fR- Date 3 l r L _n A44/4 mine Septic Repair Proposal For: 32 r Gl1 J, j Design Criteria: d r c�l�vo;,. /e s s /4, / Required: 419 5'sY 1'f ZIA Proposed: 3_ Sn � 1 �s �ttnc le o' S-YO sl.� Ase J �., 2�it X`/40 ND`'v"AJs r *r 3 Z- 'i° © f� t- i.iC O v/ Vert! 17 Plan By: Andrew Coleman License# 005839 11/21/2007 WED 8:49 FAX 860 644 7280 South Windsor Town Hall 16001/002 FORM42 = State of Coanecticat DePU1ment of Public•Ileaith APPLICATION NO._ RWESITGAVON FOR SEWAGE DISPOSAL SY 'i'>JM Owner Location r.`a2f` w• PERCOLAUON TESTS:(Record Tests) { ^? 801I.MC)ISTIJRE: ociJ te) (high,MCC low,etc.) TEST READINGS ..HOLE f HOLE' _..- HOLE HOLE wiC une fn l 34 j,-Y .TABULATION OF TEST RESULTS Tiaic' I:ocation • .' DepStoalcTitt e4e Percolation Rate OBSERVATION PITS:(Record allpitsj 'u .,� GmcmdwaterTabk • (Date} (Near ice,.B . SOILDESC RIPTIONS PI'1 :PIT . I'IT. PIT. p 1-- 2f� 0--(9-top `Post-it'Fax Note 7671 � 1/a *pa°ges► 02, y- �y � TO , Fnxn !, _._._ CoMept. Co. ---------.-- ----- Phone# Phone# Fax# Fax M TABULATION OF TEST RESULTS Pit Lmdoa Depth Ledge Crroriad Water Mottling 1/1100 49 11/21/2007 WED 8:49 FAX 860 644 7280 South Windsor Town Hall Z 002/002 FORM#2 Con'd State of Connecticut Deparunma.of public Health InvesSation for Sewage b'upoal System - 5 LOCATION DRAWING SPECIAL CONDITIONS CONCI,USIQNS 00 � � bk foi sewage disposal cam. Wit •ar tJasuirabta f�aewagdi Hooding . T suitable atr, Additional investigation rapked Excessive Slope Fovea ZSXj - Margioal son( 3.0-6pminfi/mch) P4M daft!act season Swallow ledge.(las dean S tt) . Undalying 0&soil(less than 4 tk) Monitor ter duu wet season ------------ I:t#gineex's plan required - DESIGN RECOMMENDATIONS l4vastipte4 by Tide Confumed/witacued b Comments: y inioo or March 6, 2008 1540 Sullivan Ave South Windsor, CT 06074 Dear Sir or Madam: Enclosed with this letter is the as-built for the newly installed septic system at 325 Griffin Road. I apologize for the delay in getting this to your office. If you have any questions, please feel free to contact me at our office at (860) 871- 2616 or by email at info@wastewaterllc.com. Thank you for your time. Sincerely, Mike Williams Wastewater Services 100 Windermere Ave Phone: 1-866-BUMP 360 www.wastewatedic.com Ellington,CT 06029 Fax: (860)871-1587 Email: info@wastewatedlc.com AS-BUILT PLAN Permit No- Town Location Z t7r,N Date l07 Houseor Lot o. and S#ree# NevvSepticSysiem . Repairof Existing System Draft a substantially correct scale drawing with Property boundaries,sh0wi installation; at least two sides of buildingnearest rig gyration distances of septic system system;septic tanks, db�ribution boxes;ftenches;dry wefts; beds;galleries;-potable water sup*wells;and, other.features affecting system and its location. - Show leaching system,septic tank, pump chamber and curtain drains,as needed. Show NORTH with arrow. Show road,driv. way, Fro A 1000 A � S s 3s 3 � 7'�yy ILL G11 Point #1 #2 #3 #4 �#5 #6 #7 #8 #9 #10 Distance from Comer"A" YSZ" .�!, 79 7" 76 ' Distance from Comer"B" 7 ' Distance from"C" Distance from"D" Revised 12198 FORM#2 State of Connecticut Department of Public Health APPLICATION NO. INVESTIGATION FOR SEWAGE DISPOSAL SYSTEM Owner Location �� f4. PERCOLATION TESTS:(Record all Tests) -LO--a7 SOIL MOISTURE: (Date) (high,med.,low,etc.) TEST READINGS . .HOLE it HOLE HOLE HOLE Time g Time Reading Time g une ea y o i 36 dry TABULATION OF TEST RESULTS Hole- , Location Depth Presoak Time Percolation Rate OBSERVATION PITS:(Record all Pits) 14 :±7 Groundwater Table (Date) (Near max.,.Below maw etc.). SOIL DESCRIPTIONS PIT. PIT t PIT. PIT. 0— a Lv b . ti !,�y rr►,�.C1 . Cvujk TABULATION OF TEST RESULTS Pit Location Depth Ledge around Water Mottling 1/1/00 49 FORM#2 Con'd State of Connecticut Department.of Public Health Investigation for Sewage Disposal System Butte LOCATION DRAWING SPECIAL CONDITIONS CONCLUSIONS System design larger than 2;000 gp.d: Suitable for sewage Water supply wataslxd disposal = Possibler seasonal high groundwater m or pond . Unsuitable.for sewage ° Watccause, arsh Possible seasonal flooding Limited suitable area Additional investigation required Excessive Slope(over 25%) Retest during wet season Marginal soil(3.0-60mins/inch) Shallow ledge(less than 5 ft.} Monitor groundwater thru wet season Underlying tight soil(less than 4 fL) Other Engineer's plan required DESIGN RECOMMENDATIONS - --- Y Investigated by Title T . Confirmed/witnessed by Title Comments: 1/l/00