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Home My WebLink AboutSeptic Repair 341 Griffin Road 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. l' Fee Paid Date Permit Number As a sub-7(�surface sewag ilsposal system installer licensed in the State of Connecticut, 1 vwP,sr„t..�, ��1 df��s��c. tlr- Name, Address, Telephone Number, License Number hereby apply for a permit to construct/repair a subsurface sewage disposal syste located at 4l ar,X1v. 1?d and owned by ['�c�r/1k. G,�n►�+i':S Street, Address, I Lot Number Name Saw— Address Information to be suPP liedrT P li ant: Type of dwelling Rt.5, � . If non-residential, estimated daily flow Residential,Commercial,Etc. Number of bedrooms 1J Size of lot Number of fixtures above basement Tubs,Sinks,Toilets,Etc. Number of fixtures in basement, if any A L7 , /� Pumped or gravity flow, Type of water supply C. %, Z� If private,type of well Publi 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 v Si ature of Applicant&License Number For Office Use Only p Permit issued by Date System installed by Final Inspection Approval 1142 Date =e) 10V1 Sf4 T �Sou� V&UZ410-t s 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074 soR•co TELEPHONE (860) 644-2511 PERMIT TO DISCHARGE Approval is hereby given to 341 Griffin Road, in accordance with the Public Health Code, Section 19-13-B103e(h)to discharge to a subsurface sewage disposal system located at 341 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 *ln 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. Special Requirements and Restrictions: 1.Use of a kitchen garbage disposal is not recommended. 2. Signs of malfunction or failure should be addressed. Exceptions: Date of Final Inspection: September 10,2009 Inspected by: Robert De Vito,R.S.Environmental Health Officer Signature: Date: D D I - ae o ' ?y oto TI Ct,1 �-1 1 �k- w _— ; 1 -Ptor-J - �efeem-,,-d cc., 4'r r-**--6� ON t� S _ 5 WASTEWATER SERVICES, INC. 100 B Windermere Ave. Ellington„ CT 06029 C'ONNECTICUT RECOMMENDED MINIMUM EXISTING SEPTIC SYSTEM INSPECTION REPORT I PROPERTY INFORMATION Address: 341;Grtffn Rd Town: South Windsor Date: 8110/09 Type of Dwelling or Use: Residential 2 CLIENT INFORMATION Name: Michael Kowalczyk Phone#: Mailing Address: 289 Dart Hill Rd Town: South Windsor Stater CT Agent Name: Kathy Danais ZIP: 06074 Send Report To 3 INSPECTOR INFORMATION Name: Andrew Coleman _ Company: Wastewater.Services' Phone# 860.871-2616 State: CT Mailing Address: 100 Windermere Ave Town: Ellington ZIP: 06029 DISCLAIMER THIS INSPECTION REPORT INDICATES THE PRESENT CONDITION OF THE PRIVATE ON-SITE SUBSURFACE SEWAGE DISPOSAL SYSTEM BASED ON RECOMMENDED INSPECTION PROCEDURES OUTLINED IN THIS REPORT.THE RESULTS OF THIS INSPECTION DOES NOT DOTES NOT GUARANTEE OR WARRANTY FUTURE PERFORMANCE.THE INSPECTION REPORT EXCLUDES AND DOES NOT INTEND TO COVER COMPONENTS THAT ARE INACCESSIBLE(BY REASONABLE HAND DIGGING)OR ARE OTHERWISE NOT OBSERVABLE. 5 RESULTS AND RE.COMMgNDAjIONS INSPECTION REVEALED(INDICATE ONE OR MORE OF THE FOLLOWING) System functioned properly at time of inspection. System functioning but is not necessarily sized per today's standards, no upgrade required. Plumbing lacks or wastewater routing problems in home. Need for component replacement and/or modification. x System is currently surcharged. xT Evidence of prior high liquid levels in system components. x System operating at capacity under current usage levels. ,.Sewage overflow observed,repair required under permit of local health department. x Soil testing;recommended to determine expansion/repair area. COMMENTS AND RECOMMENDATIONS FOR ABOVE CHECKED ITEMS ON NEXT PAGE INSPECTION REPORT Page 2 COMMENTS The 1000 gallon concrete tank appears to be structurally sound.The leaching s stem consists of 2 plpe and stone trenches.At the time of the inspection both trenches were full with solids and liquids. This is a malfunction and the;system needs to be replaced. RECOMMENDATIONS Perform soil testincl and a p.%rc test with the Health Department. Cost: $350+ permit fee, The results from this testing will determine a criteria for the new septic s stem as well an accurate rice for the'ob. NOTE: The recipient of this report should discuss any deficiencies found by this inspection with the Inspector. INSPECTION PROCEDURES 6 RECORDS AND DATA: (OBTAIN AS MUCH AS PRACTICAL PRIOR TO THE ACTUAL INSPECTION) This information may be obtained through numerous sources,some of which is provided voluntarily,such as,through the property owner. The inspector assumes no responsibility for the accuracy of information provided in this manner. Attach copies of all available records and indicate the source of such records. RECORDS (INDICATE NUMBER OF EACH) Permit Applications: New System: Date: Source: Repair/Alter. Date: Source: Permits to Construct: New System: Date: Source: Repair/Alter: Date: Source: —" Permits to Discharge: New System: Date: Source: Repair/Alter: Date: Source: NOTE: Lack of records or data on file does not necessarily indicate that the existing subsurface sewage disposal system is non-compliant with installation standards. MAINTENANCE RECORDS Last Two Septage Pumpout Dates: & Source: Copies of Pumpout Reports Available?: Y/N Source: LOCATION DRAWING--(AS-BUILT) Is a Location Drawing Available? yes Y/N Source: town INSPECTION REPORT Page 3 7 GENERAL INFORMATION Age of System: Tank: 22 Years Leaching Fields: 22 Years Number of People Occupying Dwelling; Currently Anticipated *If currently unoccupied, how long has it been vacant? Number of Bedrooms? Water Supply to Building? Well; Public Water Supply 8 WASTEWATER ROUTING One Tank/One System x Two or more tanks/One System Separate Gray and Black Water Systems Does more than one sewer line leave the foundation? no Y/N (indicating possible two separate systems?) Is there an in-home ejector pump? yes Y/N Water treatment system utilized? no Y/N If yes, does backwash discharge to septic system? Y/N If Yes, recommend alternative. Does kitchen sink have garbage disposal? no Y/N If yes, recommend cleaning the tank more often. Does basement have a sump pump? no Y/N If yes, where is it discharged? Does the washing machine discharge to septic tank? yes Y/N IIf No, DYE TEST may be necessary. If discharge is to a separate drywell or separate leaching system, is it functional? Y/N If No, corrective action would be required. Is there any indication that sewage bypasses the septic system? no Y/N If Yes, DYE TEST may be necessary. NOTE: IF DYE TEST IS NECESSARY, PERFORM IT PRIOR TO PUMPING TANK 9 SEPTIC TANK EVALUATION Type of Seotic Tank: x Single Compartment Multiple Tanks Two Compartment Cesspool Depth of Tank below Grade: 12" Depth to risers: Tank Construction: x Concrete Plastic Fiberglass Metal Other: Volume of Tank: 1000 Gallons Tank Components: Present Type Condition Y/N Comp. Good Operable Poor General Tank es conc x Inlet Baffle yes partition x Outlet Baffle yes elbow x Effluent Filter Com artment Wall inlet Pipe yes clear x Has there been any indication of previous higher than normal levels of septage in the tank? no Y/N Depth to Liquid from inside top of tank " —inches 1NSPECTIGN REPORT Page 4 Was the tank pumped at the time of the inspection? no YestNo if pumped, did effluent flow back from the fields during pumpout? Yes/No What was the amount of solid build-up:in the tank at the time of Inspection: x Excessive Normal Light Is system served by a puirnpo and pump chamber? Y/N Is it functional? Yes/No Is there an alarm? Surface access? Details: 10 LEACHING SYSTEM EVALUATION Type of;Svstem: x Trenches Galleries Drywells Infiltrators Other: LEACHING AREA RgOL IRED;PER=PRESENT STANDARDS(if perc. Test Info.is avail.). nta S.F. EFFECTIVE LEACHING AREA PROVIDED(rf as-built drawing is available) Via S.F. Distance between septic tank/leaching-fields and potable water wells: n/a FEET Are there any structures or impermeable surfaces located over or near the leaching area? no YIN Describe Were one or more of the following signs of system malfunction present? no. YIN SEPTIC ODORS PONDING OR SEWAGE BLOWOUTS LUSH GREEN GRASS OVER PARTS OF SYSTEM ILLEGAL DISCHARGE Does surface water, roof drains or sump pump runoff drain onto the leaching area? no Y/N Were distribution boxes exposed? yes Y/N Depth to Distribution boxes: 20" What was found? 4 hole concrete box futt to the top with solids and liquid Was the leaching system probed? yes i Y/N What were the results? trenches are at capacity Were there any leaching galleries or pits opened to observe present or past effluent levels? no Y/N What was found? INSPECTION REPORT Page 5 Was a more in-depth investigation of leaching system conducted? no Y/N What were the results? Is there an expansion/repair area available? x Likely Not Likely Unknown Were there any conditions observed which might limit a repair? (wetlands, ledge outcrops,streams, etc.) no DIAGRAM OF TANK AND LEACHING SYSTEM LOCATION (ties from permanent structures) 0 - /ky,t.-4 o^ i 6 f Andrew Coleman inspector's Name(printed ortyped) Inspector's Signature Profession: Installer LIC. No. 5839 This form is a result of a Connecticut Environmental Health Association Committee consisting of members of the State Dept.of Public Health, Local Sanitarians, Licensed Installers, CT Sewage Disposal Association, CT Association of Realtors and the Home'Inspection Industry 5' S �I' 30 6'0 s_ vo� 30 yo' NOTES 7La SOUTH WINDSOR POLLUTION CONTROL ----- »of SC LOCATION / Gr; ,0" S�Mc� �Ct ��'bu�fah OWNER s TYPE OF WORK 'r DATE 6-av-n PERMIT PIPE INSTALLER INSPECTOR r DRAWN BYE D Property 3 q I Location Date l� � Pew 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 Peal � c5ii L — G 'Ali ` � P GLJ11Cs Investigated by: Title: Date Town of South Windsor Town: INVESTIGATION FOR SEWAGE DISPOSAL SYSTEM Owner: Date: s 1:�-02 Location: �� Soil Tests Observed By PERCOLATION TESTS Hole# Pit# Hole# Pit Test Pit Depth Presoak hours Presoak hours Ledge Seepage Depth Mark De th Mark Mottling Roots Depth Observation Rate min/in Rate min/in Test Pit Depth Test Pit Depth Ledge Seepage Ledge Seepage Mottling Roots Mottling Roots Depth Observation Depth Observation 4ON4N 8 4 c % r ��y)1soa,�C ?d&zd�4� m 1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074 �OsoIRK° TELEPHONE(860) 644-2511 Septic System As- Built Plan Street Address Date Permit Number New Septic System ZoRepair of Septic System Alteration of System y em Number.of Bedrooms or Design Flow of Building Type of system installed77S S 5 7 (e.g.stone trenches,infiltrators,galleries) Square footage of system:Total lengths wide ;f— 36 ,r Effective Area Capacity of Tank I D New Existing ✓ Length of house sewer pipe �zx,5 T'!r► (� Minimum distance between septic tank and foundation Minimum distance between leaching field and foundation >7&— Minimum distance between sewage system and nearest well N Public water supply _ Minimum distance between leaching system and property boundary 710 Curtain drain required? Yes No Minimum distance from leaching field to drains (curtain drain, foundation,stormwater, etc.) Septic System As- Built Plan Address ?ql 6,z�p/,, I2 Date Location of System 66r .(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 I Tt.I n%6W 111cense-Number ? Installers Address 9-7 /G(UtR&S I /,'E /i C— 1 (street, city, state and zip code) G,- a e;, si ifPr D c� r up, u►� 11101 s Sz Distance from corner- Distance from cornerT:3 Distance from corner Distance from corner# �(�j