The URL can be used to link to this page

Home My WebLink AboutPermit to Discharge New 466 Main Street SOUTH WINDSOR HEALTH DEPARTMENT (Household System) PERMIT TO DISCHARGE Approval is hereby given to Michael & �,rlene Martocci to discharge to a Owner subsurface sewage disposal system located at 466 Main Street in the town of South Windsor which will receive treated domestic sewage from a dwelling containing three bedrooms. PROVIDED: 1. Liquid discharge volume shall not exceed 125 gallons per bedroom per day. 2. The septic tank shall be inspected regularly and cleaned not less frequently than every five years. Construction Permit No. "'----- Installation inspected by Robert Deptula Title Environmental Health Offic. Date of final inspection 4./27/93 Issued by: Robert Deotula, R.S. Director of Heat or Registered Sanitarian . Title Environmental Health Officer Issuance date 5/27/93 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- SPECIAL REQUIREMENTS OR RESTRICTIONS: EXCEPTIONS: 5/93jh 1 H4 1�S �3 2 u J. 8`�' Q� I G�Irrcc Cr +\S $V' ` s Y S w` NOTES SOUTH WINDSOR HEALTH DEPARTMENT fib.f )4o :rcm4 LOCATION ly,6,6 Mi OWNER a A.h-f o t GA TYPE OF WORK a ld,d i i btu -- - -- - - ----- - -nATE -17- PERMIT PIPE Post-it®Fax Note 7671 Date f 1'- pages► SPECTOR 4 DRAWN BY To ' From Co./Dept. Co. Phone# Phone# Fax# S ,{ 4 Fax# FORl. SOUTH WINDSOR HEALTH DEPARTMENT APPLICATION No. • •1 CHECK LIST REVIEW OF PLAN/INSPtCTION OF SEWAGE DISPOSAL SYSTEM a � _+o 7s•-aer lbc�r7(o c 0 Location '��6 �►�j�,,,` �� Date S 3� �-c Re ?lam prepared by Title Address Site Investigation -oZl-93 Investigated by (Date) - Bench mark location Elevation Design Percolation Rate �'n .1jh Mins.finch at hole(s) If residential, number of bedrooms 3 If non-residential, estimated daily flow HOUSE SEWER (INVERT LEVELS) '.,a-pzh at foundation wall Depth at septic tank SEPTIC TANK [eviceovr_ . Icw ^leanout located ft. from and ft. from manufacturer Size gals. 'depth to cleanout LEACHING SYSTE24 Description 7'Hr.--_�e_s :Effective area Z sq. ft. Required effective area sq. gt� ;pacing between units ld ,13 ft. 1004 reserve area provided- Bottom of leaching system 18 inches above maximum water table notzom of leaching system 4 feet above ledge rock ✓ Scztom of leaching system inches below final grade. 'Pumping required vbJ Curtain drain required 12 J serial distribution Level system SEPARATING DISTANCES �we" located ft. from �Z))11'c- CV 4, A .,end ft. from Distance sewage system to well on roperty_ft. To water service ft. To wcll on adjacent property gt. To property line >is" ft. To house served O ft. To dwelling adjacent ro ert P P Y 7 Sv ft. To nearest watercourse s ft. To nearest ground or surface water drain >!dy ft. ",eviewcd/Inspected by Title ------ ---------- -- PIAN/INSTALLATION APPROVED_ DATE 44.27-9,3 INSPECTION FEE PAID �� r unm jr1 V V V a►a .. a s W✓ w 1\ ►►►+ "a WAK 1-1 ti n a r • APPLICATION FOR PERMIT TO CONSTRUCT OR REPAIR A SEWAGE DISPOSAL SYSTEK (Office -use ow'v) APPLICATION 90. TO THE DIRECTOR OF HEALTH TOWN OF DATE .2 7-9 3 Application is hereby made for permit to construct a sewage disposal system for a Residences Store., Restaurants no. Located at (Street Address, Lot Number, Subdivisions Name; Map, Block, Lot, c. New System Addition Repair other owner A ar4 o c[.c' Address �/6 6 �i�2Q �� Tel.No. Installer eyac, _ Address `/9 /u uxak i?d Te1.No. Installer License No. ` 9 7 In accordance with detailed information stated below Signed�, c Owner or d-uAy authorize presentative Application fee paid - - - - - - - - - - - - - _- - -_- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - GENERAL INFORMATION Subdivision Approved Date Lot size Sq. Ft. On Public Water Supply Watershed On Designated Wetland SCS Soil Classification Public Sewer Scheduled Date if residential, number of bedrooms Flood zone if non-residential, design criteria; (Sanitary Facilities, No. of Employees, Meals Served, Etc.) Basement Fixtures Foundation Drains Special Equipment ENGINEER'S PLAN REQUIRED TEST DURING WEr SEASON Water Supply p ✓b �jC Type Well w Well Location Approved Yield Satisfactory Sample Da e ---Well-Driller-'-s-Name - - --- - - - -----Address--- --- --- - --- -- - - ----- --- rWATER SUPPLY APPROVED j TOWN OF SOUTH WINDSOR �_ cl;-kim HEALTH DEPARTMENT Application for permit to install a spa r-subsurface sewage disposal system. To the Health Department, Town of South Windsor. Fee Paid Iy e' Date 2-7 Permit Number As a subsurface sewage disposal system installer licensed in the State of Connecticut, I Name, Address, Telephone Number, License Number he eby apply f a per o constructlrepair a subsurface sewage disposal system Located at _ and owned by �1'�� Street, Address, Lot Number Name ddress Information to be supplied by Applicant: Type of dwelling XIF5Z . If non-residential, estimated daily flow Residential,Commercial,Etc. Number of bedrooms _ Size of lot Number of fixtures above basement Tubs,Sinks,Toilets,Etc. Number of fixtures in basement, if any , Pumped or gravity flow, Type of water supply �l 3z/c . If private,type of well Public-Private 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 trench etc. Distance between i vidual leaching units. Distance from well a 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 y Date ignature of App' ant&License Number For Office Use Only Permit issued by Date System installed by k°va Final Inspection Approval Date 41 -a '—ci 3 TOWN OF SOUTH WINDSOR HEALTH DEPARTMENT Application for permit to install EICe repair subsurface sewage disposal system. To the Health Department, Town of South Windsor. Fee Paid _ 0 A Date Permit Number ')9-d46 As a subsurface sewage disposal system installer licensed in the State of Connecticut, I N e, Address, Telephone Number, License Number hereby apply for a perm t to construct/repair a subsurface sewage disposal system located at . - 16YA/A) � and owned by Street, Address, Lot Number Name Address Information to be supplied by Applicant, Type of dwelling R-_rje g. If non-residential, estimated daily flow Residential,Commercial,Etc. Number of bedrooms Size of lot Number of fixtures above basement Tubs,Sinks,Toilets,Etc. Number of fixtures in basement, if any , Pumped or gravity flow, Type of water supply pub If If private,type of well Pullic-Private Information to be supplied by Health Department: Soil type at various levels Sa-'d Percolation rate Square feet of effective leaching area required 373' 42� Size of septic tank /boo s2 Type of system 'i Y`�-•rues Trenches,Drywells,Etc. Number of dry wells; trenches, etc. ,3 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 r 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 0- Signature of A I' nt&License Number For Office Use Only Permit issued by Date P—,e z, System installed by ��va Final Inspection Approval D Date i f c� I � Hq 6 f NOTES SOUTH WINDSOR POLLUTION CONTROL �!G` LOCATION 6 OWNER mritilo TYPE OF WORK DATE - - PERMIT _2 6 PIPE -- - -- - -- --- ---- -- INSTALLER- --- 4,c-v-a INSPECTOR 7 . DRAWN BY . APPLICATION FOR SITE INVESTIGATION AND PERCOLATION TEST Information to be _supplied by Applicant: Name and Address of Applicant 1 raw— Location of Property. nja"*N Address, Street, Lot Number Name- and Address of Owner /y, arjj2rr i' Site of Lot Type of Water Supply_�b��'C_ Signature of Applicant Date Information to be supplied by Health Department: Description of Property Soil Conditions: abservati.on Pit #1 7- Observation Pit #2 Observation Pit #3 Q—to_' ;'tae Aldimv i/ ) to - to f � to to to t0 t0 t0 to t0 - - to to —to— �og of Percolation Tests: /a-Y-79 heavy -e A fr+rcrr-li'f day Test Water Time Rate Test lWater Time Rate tole � . Depth Time Level Interval Drop Min. /In. Role # De th Time Level Interval Drop Min./In.. �i a Y 36 .2 l�Yy �o J�ih a34 30`/� SAn,n f �T resign Rate wd Design Rate remarks n 'ests conducted by Date pproved for septic system — yes - no ignature of San ita �y Date so-- '��'