The URL can be used to link to this page

Home My WebLink AboutSeptic Repair 18 Mountainview Road South Windsor Health-Dq, t ' INVESTIGATION FOR �F AGF DI4pOSAL SYSTFI�i OWNER LOCATION l MY k btk-1V PERCOLATION TESTS: (Record all tests) r/�'— SOIL MOISTURE: DATE (high, med, low, etc) TEST READINGS HOLE #1 HOLE #2 HOLE #3 HOLE #4 Time Reading Time Reading Time Reading Time Reading .9Jr3 t3YL s6 G� t�02-, .lam TABULATION OFT 4T RFCTTr •re Hole Location Depth Presoak (inched Minimum Percolation Rate rs•) Mimi" 1. 2. 3. 4. OBSERVATION PITS: (Record all pits) Ground Water Table: (Date) (Near Max,Below Max) SOIL DESCRIPTIONS PIT A PIT B PIT C 0-t3 , Up PIT D TABULATION O OBSFRVAT1 nTT� Pit Location Depth Le--d- Ground Soil Way Mottling A. B. C. D. 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 Date Permit Number As a subsurface s� sewage disposal system installl�er /licensed in the State of Connecticut, I ? L✓Oolo" &I (�L1/ �1-923!42 5360 es Name, Address,, Telephone Number, License Number hereby apply for a permit to construct/repair a subsurface sewage disposal system located at 0 n and owned by Street, Address, Lot Number - Name Address Information to be supplied by Applicant: Type of dwelling Ro.s . If non-residential, estimated daily flow Residential,Commercial,Etc. Numberof bedrooms I/ 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 OyLo' . 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, trenches, etc. L�rf✓f�suT� Sa�E 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 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 Aevl Date D Signature of Applicant&License N er For Office Use Only Permit issued by Date System installed by ky ,L/' A140 Final Inspection Approval �� Q� Date Cb 2.8'�h Engineered Systems-Pump Systems- Our Specialty fT ` �' Septic Tanks Vacuum Cleaned Uc m/q� ~ Light Excavating Portable Toilets l b' /mil�j/�(''✓ mod Pao G� ,6� PIPPIN & SON SEPTIC SERVICE � _ 37 Woolam Road �� f"�v �0 J-4 RE23 3 HO POINT, 875-074 g 82 l I �q. 7 32 , y � 3 36, 7 34, � � l 2 z 9 ©,G 1 12 016 ra 'oc Z�° zoo