HomeMy WebLinkAboutSeptic Repair 2035 John Fitch Boulevard ?DTK SOUTH WINDSOR HEALTH DEPARTMENT AP =C-ATION 10.
• pT7Es IGATZ08 FOR SEWAGE DISPOSAL SYSTEM r
owner V y LOCATION r 2035- -
PEACCEA=ON TESTS: (Record all. testa) ,2 7-fj SOIL MOISTUME:
Date higa, med., lovf etc.
TEST READINGS
HOLE #1 =2 #2 HCLE #3 HOLE. '
Time Reading Time Reeding Time Reading Time Reading
ID?�
i/Z- 211 /Oz-
TABULATION OF TEST RMUTLTS
Depth Presoak Mini— Percolation Rate
Hole Location (Inch_s) Ers. ) (Mans./Inch)
1 36
2
3
OBSERVATION FM: (Record all pits) i/-27,yd Grcund Water Table:
5t-e Near Max. Be ox Max., Lzc
0TL DFSCRI? 10�+�
PIT A FIT B ??T C ! PIT D
o-lo -700 r
jo,ay— fa."Jy 1bw"
aL�-�%L'- ►.�.�d s�J,,^mod'
�L —7(�/Z " coi rie sd+�
!�
Jla--
TABULATION OF OBSERVATION FT'.".S
Ground Soil
Pit Locaticu Depth Ledge At Water At Mottling
A
B
C
D
Ove7
FJOM4 #2 SOUTH WINDS 0 R HEALTH -2- Investigation_Por Se•.+a$e Disposal.Syste
DEPARTMENT
SPMIAL CONDITIONS .
System design larger than 2,000 g.p.d. Water supply watershed
B.gh ground water (less than 14 Pt. ) possible seasonal high
ground Water
Watercourse, marsh or goad Possible seasonal Plood3ng
Limited suitable area Slope over I5%•.
Marginal soil (30 - 60 mins./inch) Shallow ledge (less than 7 Pt-)
Underlying tight soil (less than 4 ft) Other
CONCLUSION
Suitable for sewage disposal
Unsuitable for sewage disposal v
Additional investigation required
Retest during wet season
3rneer's plan required )e&, ' 5 1)
DESIGN RWOM2MM1TI0NS
zv
Investigated by ,+�� � Ia. Title
CoaPirmed/Witnessed by Title
Comments:
Benchmark location 'Elevation
STATE OF CONNECTICUT
DEPARTMENT OF HEALTH SERVICES.
kpir ON-SITE SEWAGE DISPOSAL--SECTION --
NOTICE OF EXCEPTION
An exception is hereby granted to the requirements of Technical Standard- 11A of
Regulation 19-13-B103 of the Public Health Code of the State of Connecticut for
the _ Rf`pFt��R of a subsurface sewage disposal system
on the _ BaN& VV 2* 35 ?Q%AAJ F%TCH XSkYD
in the Town of 5*.r'r'N W%r+osa A. Connecticut.' It has been found that
the wells located at __ ,03S A„V 1o3q tKowAt.czKK Pluegarf),zom F+icat Skvb, ARE
unlikely to be polluted in such a manner as to cause a health hazard, provided:
11• THrc 1R£1P%AC-q 1er_1 tZAcA%NCa f4srew% AC LotA-MT1- iQT
LESS 'TNA0 IIS EQ-r Tre-am E"TA of 7rAS AevagG SvOiECT wLr".
i. Is VA WEt)..S SE ANALA-L" FoA $ACTERIoLg&%cAL
Pc t1.VTA,�i�rs PR�c�R. Zb -Tt4�e 1NS`rtittAT\orJ bF Tt -S%J'8 jECT ft PAIR.
3. TEE REPA�ft tNSTptl Ttar� St}pu� SG %Vvrre eu ANA
AWPRnVED Isq T"S Sev-t% W%NbSoR NZA%TH l»PAjZTmF ,T
Recorded at the Connecticut Department of Health Services, Hartford, .CT.
ill AI PR 10(9 a
Date
Arthur J. Caktellazzo
On-Site Sewage Disposal Section
phone: 566-1251
ISO Washington Street, Hartford, Connecticut 06106
An Equal Opportunity Employer
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