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HomeMy WebLinkAboutSeptic Repair 84 Miller Road ` �. ;;-' SOUTH WINDSOR HEALTH DEPARTMENT APPUI. ,21 110. =7=GATTON FOR SEWAGE DIS'?OM STV"M ° a„r jVru-v LG A=©N �® .M!lI " ' PEAcoLaTloA TFSTs: (Record all. tests) SOIL MOISTURE: „T g Date Tiga, mod., oar eu TEST READIMS 3CLE #1 HOLB #2 acLE #3 E �. Time Reading Time Reeding Time Reeding Time Readiru PC? !,7 u IL PP'Cz �S` w TaInATIOR Mr Tz"...'T RMTLTS i` .c� �::. presoak Minimum .percolstiog ��^ sale tocations C (Mims./Inch) -'J 2 C g.ERVA'i'I0N FITS: (Record all pits)3-176�' Grcund 'stater Table. , L+ *tear Max., Be ov Max., PZTAe V.T-TC I � Y it,F)ru i l 4-'-e- FF . t".. rr �wz TABVLA".'IOR of 0s-sER'IAn0A PT .'S . Gsouar: Soil Pit Locaticst Dew . La=_ Water At Mc t tliY4 <A B C ,F=4 #2 SOUTH WINDS 0 R HEALTH •2• Iavestig�t-vou_for ::+age Disposa3.. Sys-Z• DEPARTMENT SV.'XUIAL CMIDITIONS System design larger than 2,000 g.p.d. Water supply -atershed ffigh ground. water (less than 44 ft. ) Possible seasonal high ground water Watercourse, marsh or pond Possible seasonal flooding LUdted suitable area Slope over I5x•• Marginal soil (30 • 60 mins./Sach) Shallov ledge (less than T ft.) underlying tight soil (less than 4 ft)_ Other COPCLu5I0N Suitable for sewage disposal j (Jnsuitable for setiage disposal Additional investigation required Retest during prat season B=Vaeerls plan required . � Zr Pt�h` zs- DESIGN RECOMMMOAT101M Investigated by Title Co=rmed/W4_tnessed by Title Comments; eac h . mark location Elevation TOWN OF SOUTH WINDSOR A H DEPARTMENT Application for permit to install a ne epair s bsurface sewage disposal system. To the Health Department, Town of South Windsor. Fee Paid /4�= Date �?,, JA ►/" �y Permit Number A5 a subg&rface sewage I dispos I system installer licens in the State of Connec icut, I �L�C i")a ,? 1 �1�l � Name, Address, Telephone Number, License Number hereby app� for permit to construct/repair a subsurface sewage disposal system located at �{ m,l - ? and owned by�4L r�'G.-riv e c,J Street, Address, Lot Number Name Address Information to be supplied by ppi can Type of dwelling &,I) Lot ov If non-residential, estimated daily flow Residential,Commercial,Etc. Number of bedrooms 4�3 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 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 systemm 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: SPECIFICATION AND REQUIREMENTS AS STATED IN THI§ 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 V DO igna pli ture of Apcant&License Number For Office Use Only Permit issued by Date System installed by Final Inspection Approval Ad` Date a d w A6 .77 as -I LI - sa l Z L7EJ m moor Rd NOTES SOUTH WINDSOR HEALTH DEPARTMENT LOCATION Y ^j! tor. OWNER TYPE OF WORK R it DATE -z Z-ate PERMIT PIPE INSTALLER 144.6,9Lver INSPECTOR DRAWN BY FAx 7 s WE L EXCEPT I0N REQtTEST To: �� �Cj DATE: ON—SITE SENA= DISPOSAL SECTION DEPT. OF PUBLIC HEALTH & ADDICTION SERVICES 150 WASHINGTON STREET HARTFORD, CT 0610r, ' FROM � '�rO 1N�- TELEPHONE: IS116o OWNER: je),,L REPAIR NEW SYSTEM ADDRESS: m I '`�� PERC FASTER THAN !. X=/INCH TOWN: NO. OF BEDROOM OR, DESIGN FLOW EXCEPTION FOR INSTALLATION OF T TANK & SxSTM,..4 SYSTM�� WELLS AFFECTED: OWNERS ONLY IGHBORS ONLY�,HOTt�„_� AFFECTED PRQPL LOT NO. TYPE DISTANCE OF WELD +TO.,f I�+' APPLICA7�LE) OR ADDRESS WELL N EW -TAM PROPUTY ADJACENT MOP. ADJACENT PROP. RIGHT SIDE ADJACENT PROP45&V SIDE KDrJA►CENT PROP. IS REPLACEMENT+ SYSTEM CLOSER TO WELL(S) THAN EXISTING SYSTEM' C) HAS THE WXW S) BEEN ANALYZED RECENTLY FOR VOLLUxANTS i PLAN PREPARED —BY: PROF.ENC:—_._.3XSTAr LL'R: BUILDING BMW CoNvERTM To YEAR, ROUND USE OR ENLARGED SINCE 1977? COMMENTS s Aex-d j S_o l ar- p �sz coy �►�� AJAP ��l),k �©v J'V'A rope ENCLOSURE; SKETCH/PLAN. 7 SIGNATURE rg - z -,S'z� - 2 - t 9 fr .� 6o14 ,1 - jw6 N g ?,, I _ ' 5"Z"711 - sy f C.l• 410,p uzr? _•� o v • � 4 srp�-t c `ravtik OGcw�C4Ok4 b B1^ looll NOTES �D� o �Cu4. SOUTH WINDSOR HEALTH DEPARTMENT LOCATION 1-1014,J o 4: E b�'f 1440s OWNER &u c it 4 hy-wc`t b w i Cie TYPE OF WORK ti DATE Y-2, 4-o0PEM4iT PIPE INSTALLER raut INSPECTOR DRAWN BY STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH Re tN214(/ NOTICE OF EXCEPTION An exception is hereby granted to the requirements of Technical Standards IIA of Regulation 19-13-B103 of the Public Health Code of the State of Connecticut for the REPAIR of a subsurface sewage disposal system on the ROBERT CORRIVEAU PROPERTY—84 MILLER ROAD in the Town of SO. WINDSOR, Connecticut. It has been found that the well located at THE SUBJECT PROPERTY is unlikely to be polluted in such a manner as to cause a health hazard,provided: 1. THE REPLACEMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM BE LOCATED NOT LESS THAN 60 FEET FROM THE EXISTING WELL 2. THE REPLACEMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM WILL NOT BE LOCATED ANY CLOSER TO THE EXISTING WELL THAN THE ORIGINAL SYSTEM. 3. THE REPAIR INSTALLATION SHALL BE INSPECTED AND APPROVED BY THE SOUTH WINDSOR HEALTH DEPARTMENT. Recorded at the Department of Public Health, Hartford, Connecticut. MARCH 16, 2000 DATE Arthur J. Cast azzo Sanitary Engineer III Environmental Engineering Section wellexp.kep - (860) 509-7296 Phone: i; Telephone Device for the Deaf (860) 509-7191 410 Capitol Avenue -MS# ►sew P.O. Box 340308 Hartford, CT 06134 An Equal Opportunity Employer South Windsor Health Department TABULATION OF OBSERVATION PITS Pit Location Depth Ledge At Ground Soil Water at Mottling A. B. C. D. SPECIAL CONDITION System design larger than 2,000 g.p.d. Water Supply watershed High ground water(less than 4 '12 ft.) -/ Possible seasonal high ground water Watercourse,marsh or pond Possible seasonal flooding Limited suitable area Ix" Slope over 15% Marginal soil(30-60 mins./inch) Shallow ledge(less than 7 ft) Underlying tight soil(less than 4 ft) Other CONCLUSION Suitable for sewage disposal_ Retest during wet season Unsuitable for sewage disposal Engineer's plan required Additional investigation required /^/ A DESIGN RECOMMENDATIONS fty:,,Q Q g o a7/, di-d� .46 0-- jU4�, --ZC."', Investigated by sly p,( Title Confirmed/Witnessed by } _ Dom_ Title Comments: !� artGw ✓��^ . Bench mark location Elevation town manager/molloy/deptula 99/investigation for sewage disposal system Y1 , ' l 1 -3 L 4/J r 6 e -- - - --.r _..____--._.__ 'y ne - .. .._. _. _ _ -,. .-.. _ - �.._..- _ Y-��.+��i''SiMsw..'.. 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SDe "cats i can: Sept ^. { , , S ---_--------4-_--b,-------_-_----_-e.. -------------- Initial ---------------- ------------------_---------- Dry sample and tare- 1826.00 Tare -. 0.00 Dry •� a i.a .tiL 1626. 00 Tare for Cumulative weight retained 0 Sieve thxrr,,I eat n. . . _� I i GrceJ14 3F7CC.j.tlC:ill.3�d'I Deviation, inches retained finer Limits, percent percent 0. 00 100.a 4 0. 00 100. 0 ' 10 140. 00 92.3 100. 0 to 100.0 40 �590` DO 45.8 70.0 to 100.0 10 10. 0 to 50. 0 0 1630. 00 10.7� 0.0 to 20. 0 20n 1750. 00 --_ --------------- ------_-- 4----- 0.0 to 5. 0 -__-_ ________ _-_--- Fractional-Components__________________________w__ -----i ---- z._ ------------------------------------------ . l ..a5sd on #10 sieve ®_.-.__...®® Sand./Fines based on 0200 sieve FINES r 4. 1 .��.,, = 88.2 D85- 1.39 D60= 0. 616 D50- 0. 473 D30= 0.2835 DIS- 0. 17885 D10- 0. 14371 C•L e 0. 9018 C-U s 4 .2855 01:1E1 i1:17 12u_M1'3,4'31t=5 PARTICLE SIZE DISTR T_TON TEST REIPOO RT = o ---.SpecEfEoatlan: O 100 VO � N� � � � Septic 'f i 1 E— StOtw SptGe. :1 1 Iff T t7 1 1 - eo 70 w � H 60 L 1 1 50 1 1` T1� 4r7 Y I _ k III' -- ITT7.r—. 9" 1 0 200 100 la_O 1 _0 0- 1 0.01 0_001 CR^N SIZE - mm Test +3" GRAVEL S!>ND X S- LT Gt AY EICf C f,l AT • 2 O-0 -7.7 88- 2 SIEVE PERCENT FINER ERr- SIEVE PERCENT FINER i siu • naunG.� F mptinformation:rt—R3 100.04 100-Oddish-Brown sand. 10 92.3ttle gravel 40 45.$ 100 10.7 200 4.2 U ZE Remarks: NTS Picked up by TSMT Saaptis system 13-5% I RI—STATE Project No- : 1 175 Project: Herb Holden(Town of Vernon) i ••�.�I L_r`JLJ0`I%L J 1 tJ 1 ,I.IVIti Date: 2-21-00 Fig. No. :