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HomeMy WebLinkAboutSeptic Correspondence 260 Long Hill Road South Windsor Health Department B 100a application (for building conversion, change of use, building addition, accessory structure and lot line change) Address of proposed activity street number er Name - Address telephone c Applicant name &address if different from above telephone Describe the proposed structure or activity with dimensions (e.g. _ "addition with bedrooms, bathroom, family in ground/below ground pool, deck, winterizing porch) � ./'J Residential Number of existing bedrooms Non-residential Please describe Property served by on-site well?/�In Property served by public water? Y N Plot plan-attach a scaled drawing s owing property lines and dimensions, location and size of existing and proposed structures, and site features such as driveways, wells and septic systems, drains and water courses. Building plan-attach a sketch/floor plan of the proposed structure, addition or renovation showing existing and proposed rooms with door and window locations. Soil test data (deep test pits and percolation test) are required for the review of this application. If the data is not available, you will need to schedule an appointment with the health department. As property owner or duly authorized representative of the property owner of the above referenced property, I agree to permit the health department staff to enter the above referenced property as part of this B 100a application review process. I further agree that this authorization to enter the subject property may extend through a period of time ending with the final B 100a application-approval-and, afRr m such with my signature be w. Applicant Signature Date OFFICAIL USE ONLY F 1 i �} y- �YnJt .fit . - :M/q ... 11 Ce f C,_ { ��.�3b 07/27/2009 RON 14:35 FAX 210 349 2404 EMCC OFFICE Qool/001 KAAWIrSKY 0 Uj At leg 00 � 1 lot~`""' Go at V,- MLL g�,R`Y f¢♦ =Bv r ••.. of O �� j $• ` Q Mix 14 N _ VEST DATA Groundwater at 36" below original ground surface. ' IL No Ledge Percolation •Rate: 1"" in 14 min. DESIGN •D&TA Bedroom residence USE 1500 ga�.lm..'sep tic tank.-.. .. = " Use 825 $F Leaebing -dares' . �_• „� ,-" Use 4-3611 wide trenches-. 70' long. oo 1.'Base Map prep4red by others, 2.Contours indictee ground surface at time of tests re'`d 3. Fill is requi as shown. Topsoil must be removed prior to grading and replaced to grade. 4.Due to-water table indicators, system elevations must be adhered to. 5.Di.strihntion boxes must be. placed to produce Serial distribution. ._ _ _ _ _ _ _ ��t �� . , - � � , �� x � /�/� i , i ® � � � _.. t � � I i �-.. ' � _. .._ .. _i. 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' ,l DESIGN DATA A�'® '►l� '0 5 Bedroom residence USE 1500 gallon septic tank Use 825 SF Leaching Area V„ Use 4-36" wide trenches 70" long. 4 „,,,� �f�;�_ 2a •�. � t o p�62oua s 1 NOTES "" o O S o l. Base Map prepared by others. 2 . Contours indicate ground surface at time of tests, j 3 . Fill is required as shown. Topsoil must be - — removed prior to grading and replaced to grade. I 4. Due to water table indicators , system elevations must be adhered to. y S .Distribution boxes must be placed. to produce Serial distribution. PR.om �gT �..�� (-9w3 N�►1 'T2Eti+cu TYPICAL APPLICATION FOR SITE INVESTIGATION AND PERCOLATION TEST Information to be supplied by Applicant: Name and. Address of Applicant Location of Property Address, Street, Lot Number Name- and Address of Owner ,�,�,,� 'g- � ln�s Site of Lot ��' � Type of Water Supply Signature of Applicant Date -3 L> —&--L- Information to be supplied by Health Department: Description of Property Soil -Conditions: Observation Pit #1 Observation Pit #2 Observation Pit Y'r3 t o to AcLto.4tL_ bor, ti& d ZNMe•��y to 14017"I- ,-,.00 M to , 6 to tA--, to to to to t0 to —to — Log of Percolation Tests: 'rest 4Tater Time Rate Test T Water Time Rate Hole Y-t Depth Time Level Interval DropMin. /In. Hole I� De th Time Level Interval Drop Min./In. l V )asign Rate IWCAK Design Rate remarks_ i y �ivi i n ��� o 1J1 yJcb �,' C �'��,,,r �r•�/e�i rc�c� (�c�leF�� f' .ests conducted by_ Date .pproved for septic system - yes [,-� no e',er P P14__,�s ilnature of Sanitarian � 6� Date -7:/s= b' E Eelde rw 40r ` l�j� 1DWASZO J' � zoo +. � \ \ KRAwFSKY 'A c E-r A�- ! LU S6 1 � � ♦ - tag F tit Go ,t "V. Gf3ELL �"= �.�s\ ��g•. rc eY �170, it Izz.c� 2yY•- �-.'10 lu IN FL VL 20 r a Lin � o h� c - ur TEST DATA - "pF CONN,��, QJ Groundwater at 36" below original ground surface. y��ca4it No Ledge x � Percolation Rate: 1" in 10 min. DESIGN -DATA 0 5 Bedroom residence a USE 1500 gallon.`septic tank :.. Use 825 SF Leaching Area "' _ "f _"' Use 4-36" wide trenches. 70'n lbng. �„" �� NOTES o • I.Base Map prepared by others. set' 2.Contours indicate ground surface at time of tests_ 3 . Fill is required as shown. Topsoil must be 4 removed prior to grading and replaced to grade. I 4.Due to-water table indicators , system elevations i must be adhered to. •rua 5 .Distribution boxes must be. placed to produce Serial distribution. I� r-R-0 J — I-F-ST —MSt e_1A 'TYP I CAL. a � ltv� 9. 1 0-7 f 4� 1 0� �a � 3 RIq oe@ S mot, 3Q Q. ©Q p�?Sts-elrr�IIJ19 ok - V-. 760 t i f I CraVet. sue' I �r i i 2 bJ P,srdc" MAeK J. D 40 \ KRAVJ F*S 1< c A` X C � \ in \ \ 1 \ Oro '\\ \ 123 = 3 6O WELL \/3� � �v � r -25- IZ'� FL I22 s \ 1 \ � \ i3 R4' TANK 174 Z 46 N Q \ IL7,S � ~R iZ 1 n� 20' �� �222. ap � ` 1 � \ A�2E,� oo &� oo. .4$C U e w TEST DATA ,elef lac �J Groundwater at 36" below original ground surface. No Ledge ' Percolation Rate : 1" in 10 min. • t DESIGN DATA 0 5 Bedroom residence • USE 1500 gallon septic tank Use 825 SF Leaching Area Use 4-36" wide trenches 70" long. 61"' o G2aavo Q0' NOTES $5 2 . Contours indicate ground surface at time of tests. 3 . Fill is required as shown. Topsoil must be removed prior to grading and replaced to grade. f 4.Due to water table indicators , system elevations 8'r�� must be adhered to. S .Distributi.on boxes must be placed to produce Serial distribution. ,aATGQ