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Home My WebLink AboutSeptic Repair 20 McGuire Road r-, SOUTH WINDSOR HEALTH DEPARTMENT AFFLICAiiOt�T q0. • =V=GATIQR !FOR SMOZ DISPC`9AL S7MN fin �LACofATI01� TF5T9: (Record an. hest.) SOIL MOISTURE:(hUht mad., lowt etc TEST Rnmms #2 acZG 3 MLE. , 114 Time Reading Time Reading Time Time Reading -3� --3 TAZ=TIOIt OP Tr''T RMUfL.TS �;�s� �Niaim►tm ,percolation ate Hole (_) Era. (2�.ns./Inch) 1 2 3 4 pits) CBCS MON FITS: {.Record all Ground hinter Table e ox Pas V P= ?IT O pI"r D 76� sa,Y,4 b m IS I c, TABVIA".'I4A CF 03yFR'lA'"ION MIS Ground Soil t L�-d t crater At A 3 D ov ( L F=4 #2 SOUTH W I N D S O R HEALTH -2- lave stijpkit4oct_for .-rage• %spcaa}..376z• DEPARTMENT SPMUL CO[4DMOM . system design larger than 2$000 g.p.d. Water supply watershed sigh granad crater (less t SQ 14 ft.) possible seasonal high ground inter waterccurse, marsh or p=d Possible seasonal flooding Limited suitable area Slope over I5V MarsL=l soil (30 - 60 m3ns-/inch) Shallow ledge (less than, T ft.) Underlying tight so11 (Zees than * ft)_ Other. COPCL lcw Suitable for sewage disposal Unsuitable for sewage disposal Additional i=estigstica required Retest during wet season . �iaeer's Plea required - DEMGN R3C0*MMA=0N5 AeSc 00. /0 of S ri n g))I M�5 � 1S T 2 br-1) u e7l( — 1 l was a ss ( � D ( utiJ66�A �e P-J - rqr.(- ZF 10 S u - Pz S�a�� 0 :51jo Qlece 3,� "G U(L�1'N6sC ��w♦ - bV S 2 lP'eS �' n coN�;�ut� P� e eLOS �y w S - �� 3�xP5 TOWN OF SOUTH WINDSOR HEALTH DEPARTMENT Application for permit to install a new epair subsurface sewage disposal system. To the Health Department, Town of Southkindsor. Fee Paid /ate y7 gy Date `~ Permit Number '701--12— As subsurfa a sewage disposal ystem installer licensed in the State of Connecticut, I Name, Address, Telephone Number, License Number hereby apply for a rmit to construct/repair a subsurface sewage disposal sy tem located at and owned by rr Street, ddrA ess, Lot Number r Name e -.-cam —eT6 %' Address Information to be supplied by Applicant: Type of dwelling 4�— If non-residential, estimated daily flow Residential,Commercial,Etc. Number of bedrooms tM" 'v ,iXA' ,`eA_ Numberof fixturesabove basement L Q� Tubs,Sinks,Toilets,Etc. Number of fixtures in basement, if any , Pumped or gravity flow, Type of water supply f K- �r If private, type of well Public-Private Information to be supplied by Health Department: Soil type at various levels SA-.,ol Percolation rate Square feet of effective leaching area required Size of septic tank Type of system Trenches,Drywells,Etc. Number of dry wells, trenches, etc. 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 f ' F ledge impervious soil layer If automatic closing is required,description 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. ' R Permit Received byl, I 1' Al-1, Date Signa ure of pplicant&License Number For Office Use Only Permit issued by - Date 7r2Y 79 System installed by Final Inspection Approval Date 7-2Y Al v ' I(/ D ?yl C Fropi-f) 6XFX3 Dr'/ NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION 05 Me- 6u�h OWNER Wev, ►M e 6virlc TYPE OF WORK Re-0 1 DATE --a4 PE IT -h- PIPE INSTALLER 1 s h , i IiV s i INSPECTOR DRAWN BY ti i ' `� 1 I /1/ ' �j�Q ^_11Q}� I V�IY r�y`�1 f V��a � �2� ��,�q, -- �\ / � � �� 1 a- � �j a ) - Z � 0� c , � � Z!. Q ��JJ - 2 �o� � �'�� t c°�C1 �� 9� � PZ� G� 3?l J S�Xa� � 09/10/2008 10:02 8608750428 SKIP'S PAGE 02/02 l>D t?l C ivi rC /Z.13 3C. /V o !Z S-nf d c. 77 v F, Fir4rx4s9€b eat rt.( ;. 3/Z y Gv �� d4� s .c.� '?� IAJ J. -kf - 17,Z f, D - 70 Ors 16'r d 07- CS YSMA. C. c T)q fie t � TOWN OF SOUTH WINDSOR HEALTH DEPARTMENT Application for permit to install a new/repair subsurface sewage disposal system. To the Health Department, Town of South Windsor. Fee Paid la goo Date $ Permit.Number As a subsurface sewage disposal system installer licensed in the State of Connecticut, 1 7m : SIC(PS- P. 0, �5o,c Z47 r- i-i-i,✓6-MA) 875- 2332- # 2z4L7 Name, Address, Telephone Number, License Number hereby apply for a permit to construct/repair a subsurface sewage disposal system located at Zo -M 'Gcc itz 72-"o and owned by tqe- 6£2T- C9196 F_ Street, Address, Lot Number Name Address Information to be supplied by Applicant: Type of dwellin . If non-residential, estimated daily flow Resid ommerciai,Etc. Number of bedrooms f" 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 If private,type of well Publi rivate 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, trenches, etc. 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 If automatic closing is required,description 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. 4 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 GUARANTEEVBHL,c.HsE TH DEPARTMENT. Permit Received by �Z ¢� Date �� / ignature ofne Number For Office Use Only Permit issued by Date �—/o -v �6 System installed by Final Inspection Approval Date Skips Inc 23 Muddy Brook Rd PO Box 29 Ellington, CT 06029 ASBUILT SKETCH Work Type: Septic System Repair _Sewer Line Locate Other Address: 9b M� �i� 'Q�7• W:H WI),0561- Owner: Phone: Date: 9 0 F�� N G 1 2 3 4 5 6 7 8 9 10 A '3 s 3 C D .