HomeMy WebLinkAboutSeptic New 1440 John Fitch Boulevard AV
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
40 Application No.
TO THE BUILDING DEPARTMENT: ]�� Date OCII 19 L �^
A permit is requested for repair or construction of an individual sewage di osal system concerning which the
following information is submitted:
1. Owner of Property Address of Owner. lil�
2. Location of Property Lot. No.
c�
3. Type of Structure
(Dwelling, ommercialBu' g,Store,etc.) No. of Bedrooms
4. Number of Families or Pers, ons to Occupy Premises_
5. Plumbing Fixtures: Water Closets V. Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry bs Garbage Grinder Other
6. Liquid Capacity of Septic Tank d Material of Septic Tank C�
7. Soil Conditions: Type of Soil 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 Length ZZ " Widt J� Total 2
Other
Signat�
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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- ' TOWN OF SOUTH WI N DSOR �
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System -7"/
Application To.
TO THE BUILDING DEPARTMENT: Date_
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: ,�oo�
1. Owner of Property �- 4A dress of Owner of '
2. Location of Property 1` Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /6 a o Material of Septic Tank .-Gd
7. Soil Conditions: Type of Soil 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 Length >' l— � Width .2 � Total
Other
Signature
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(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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rofessionals , inc .
civil engineers • planners • surveyors
1170 eilington rood (route 30), south windsor, connecticut 06074
70 SOUTH HEALTH DEPARTMENT APPLICATION NOe
2N9=1IGATION FOR SEWAGE DIS?OSAL SY
Owner Jc. F 2 LOCATION S-
FERCOIATION TESTS: (,.Record a11;testa) is dS B SOIL MOISTURE:
Date (bight med.: etc.
TEST READINGS
HOLE #1 =3 # HOLE .#3 HOLE
Time Resdiag Time Reading Time Reading Time Reading
jll` .?q'/Z
TABULATION OF TEST RESi.TLTS
Hole Location ( ) Presoak Mini.m�m Pei�iazh oa Rate
Inah..s Ers. (MSns. )
1
2
3
OBSMffATIOff PM-. (Record all pits) Ground ',dater Table:
Date Near Max., a ox , zcc
OIL DMCRIPTIMMS
PIT A FIT B PIT C PIT D
0-9 - P11, P(Wovkw
-3G--��d Fti,e &J'a-'o
Wry�
A44te op
&v
TABULATION OF OBSERVAT?.'TOR Fi".'S
r
Ground Soil
Pit Location Depth Ledge. At Water At Mc"..ling A
A
B
C
D
&WM V-" SOUTH WINDSOR HEALTH -a- Investigation for 3ewagA. Disposal.gyst
DEPARTMENT
SPECIAL CONDITIONS
System design larger tbaa 2,000 g.p.d.
Water supp]y Vatersbed
ffigh ground.avater (less tbsa 4'� ft.) possible seasonal. high
.. - ground water
Watercourse.. Marsh or pond possible seasonal, flooding
Limitedm4table area Slope over I5%'
Marginal soil (30 - 60 mins./inch) Shia Ilax le (less tbaa 7 ft.)
Underlying tight soil (less than, 4 ft) Other .aed
CONCLUSION
Suitable for sewage disposal
Unsuitable for sewage disposal
Additional: investigation required
Retest during Wet season
Bngl veer t s plea required
DESIGN FMOM14ENMTIONS
Investigated by ,1�•o Title Kw lq .,h�l O
Comfi=ed/W'!tnessed by Title
Comments:
Bench.mask location Elevation