HomeMy WebLinkAboutSeptic New 1519 John Fitch Boulevard PAS SOUTH WINDSOR HEALTH DEPARTMENT APPLICATION NO.
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INV 0N FOR SEWAGE DISFCSAL SYSTE!4
OWn= v`- r LOCATION 4 -
PERCO7AT101T TESTS: (Record all. tests) - -g;(, SOIL MOISTURE:
Date , med., loW, etc.
TEST READINGS
HOLE #1 a= #2 tiOLa ;3 SOLE ,
Time Reading Time Reeding Time Reading Time Reading
d 'n /S 01
TABULATION OF Tn..'T RrSLTLTS
Depth Prpsoak Minimum .Percolation slate
Hole Location (Ers. ) (colas./Inch)
1 atd i aCr,,-g Do`f A v
2
3
• OBSERVATION FITS: (Record all pits) Ground Water Table;
fete ;Year Max.(Be oW ;feac , TE
0 DFSCRT?rCIONS
PIT A PIT B PTT C PIT D
I S-a7'r 1'd 1yr.� l
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77
6.w 94
TABULATION OF OBSERVAmION F-LT.S
Ground Soil
Pit Locaticu Depth Ledge At Water At McvtT{n a
B
Ca41d �wtol srr��. 1
C 60�1 Tom. �bt"Iw•►1
D
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r cn nc SOUTH WINDS 0 R HEALTH -2- Investigation_for Sewage, Disposat..10 to
DEPARTMENT
SPECIAL CONDITIONS
System design larger than 2,000 g.p.d. Water supply watershed
High ground water (less than 44 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
,gineer's plan required
DESIGN RECO11—MM1TIONS
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Investigated by /0- 47
_ Title -"'d- --�1 _
Confirmed/Witnessed by Title
Commeats;
Benchmark location Elevation
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5-0 $
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NOTES SOUTH WINDSOR HEALTH DEPART14ENT
ti-E, sc LOCATION
OWNER
TYPE OF WORK tom vti.` s
DATE 1 -a -gf- PERMIT PIPE
INSTALLER -r ve cr-
INSPECTOR DRAWN BY kb
FEE ,20.o o PIP /0 0 c%
NG DEPARTMENT Application No.
OUTH WINDSOR Date ZF 6,,�
I hereby apply for permit to build a sewage disposal system for a
aor�_--Z_
(Residence, boarding house, hotel , etc.)
a
Owned by qnh of__,411 Lig-(/ d � 60r r s,N,
And located at/.SO goy�-L _- S a, U_J riy().S C) z
To be built by
S o�l.s Z�rV C.
in accordance with detailed information stated below.
Signed
(Applic nt)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs Showers Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply Kind of Well
(Public, well , spring , cistern)
Location of well and underground water piping
Method of obtaining or storing supply
(Pumps , tank, etc.-)
4. Character of soil at proposed location of leaching system, including depths of
various strata
(sand, loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water
(with reference to both present & future grade)
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