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HomeMy WebLinkAboutSeptic Repair 465 Niederwerfer Road y=)Td�i142 SOUTH WINDSOR HEALTH DEPARTMENT APPLICATION ?R0. • INPFSTIGATIOff FOR SMGE DLS?CSAL SY % Omer / r9_r LOCATION - FMOLMON TESTS: (Record all. testa) .9 ��a SOIL MOISTUPrE: Date (high,, med., loW, etc. TEST READINGS HOLE #1 am #2 ROLE #3 SOLE. '414 Time Reading Time Reading Time Reading Time Reading l p-e -Z it j2 `' g xy p iy ►�vs /3„ TABULATION OF TEST REZLTLTS gyp. Presoak Minimum .Pe=colatioa Rate Hole Location (inches) Ers. ) (Mias./Inch) 1 2 3 4 OBSERQATIOPt ?ITS: (Record all pits) Ground Water 'fable; Date Near Max 02L DFZCRIF='IQN-p PIT A PTA B ??T C J PIT D �- $ - -tpso�f U+el, o7 - 7�p ���f Li-f� O-k �6pso_1 r 8=n s'jljkt 104!u, ?-15 - r4c-dy /ori p-yo`r� cover--4 ywrd suu -Sy"" v ?, � Mt fy 3y Co` 'avf Ft fm91 so►ti.� si!f !b!« w`f�`ff I�io-yb A,_ f,14, Sccti� )-%1)(Y sue!(Ql tf - Easy si Ny aa,.�/Pam) c16-B y _ ► sr`11�� SravQ� U wP- 6, Uv&ed nlazc AA, -1 t >r w s� "`'� �w- 63" nt p"Ir -36 a v H,.d"Ic TABULA n, 01q OF OBSERVA^101q PITS Ground Soil Pit Locaticu Depth Ledge At Water At Mcvt;{a A B - -- C D Ova. F=4 #2 SOUTH WINDS 0 R 11'E A L TH Investigation_for Sewage, Dispoaa.;.Sys-;t DEPARTMENT SPI A,L CONDITIONS . System design larger than 2.,000 g.p.d. Water supply watershed High ground water (less than 4j ft. ) possible seasonal high- - ground water Watercourse, marsh or pond possible seasonal flooding Limited suitable area Slope over I5V Marginal soil (30 - 60 mins./inch) Shallox ledge (less tbaa 7 ft.) Underlying tight soil (less than 4 ft) Other CONCLUSION Suitable for sewage disposal Unsuitable for sewage disposal v Additional investigation required Retest during wet season Engineer's plan required DESIGN RMOMVMUATIONS > p Investigated by Title Confirmed/Witnessed by Title Clomments: Bench.mask location 'Elevation rum IrA. vvV aaa W. a.a.W LA vn as a.r%"aaA L;Li r n a%111 L'.1141 APPLICATION FOR PERMIT TO CONSTRUCT OR REPAIR A SEWAGE DISPOSAL SYSTEM (Office -use Only) APPLICATION NO. TO THE DIR=OR OF HEALTH TOWN OF DATE Application is hereby made for permit to construct a sewage disposal system for a kResidencelp re, Restaurant), na. Located at �4 �e�/r 1,v�ry�cr S reet Address, Lot Number, subdivision Name; Map, Block, Lot, Etc. New System Addition Re Other Owner Lv42e.:7 Address Tel.No. Installer Gyilllm� P1tllt�s Address ac► dov r Tel.No. 6 Y6--Ys''05- Installer License No. 3666 In accordance with detailed information stated below Signed (Owner or duly authorized representative) Application fee paid GENERAL 114FOPXATION 6? S/3 Subdivision Approved Date Lot size i Sq. rt. On Public Water Supply Watershed On Designated Wetland SCS Soil Classification public Sewer Scheduled Date If residential, number of bedrooms 3 Flood zone 0 if non-residential, design criteria; (Sanitary Facilities, No. of Donployees, Meals Served, Etc.) Basement Fixtures Foundation DrainsAs Special Equipment �— ENGINEER'S PLAN REQUIRED n�j TEST DURING SEASON / Water SupPIY Gv a Type Well Cj^i`/014 Well Location Approved Yield Satisfactory Sampled (Date) Well Driller's Name Address 4,d6 Gc.il!!a CZ6 rWATER SUPPLY APPROVED z FOR 1. SOUTH WINDSOR HEALTH DEPARTMENT APPLICATION N0. CHECK LIST REVIEW OF MHZINSEWTION Or- SEWAGE DISPOSAL SYSTEM 'r.• Date•ner L o��S Location Y6 /��'ea�rr- Rec 14. Plan prepared by _ DotA�F ir•berjwh Title ��• Address 19/�,t� -,41 /?:""%Qt, 1/,� _ _'Y4 Site Investigation Quo?g-go Investigated by 7�0(� (Date) Bench mark location Elevation Zo J Design Percolation Rate ,2 S- Mins./inch at hole(s) ly If residential, 'number of bedrooms_ If non-residential, estimated daily flow HOUSE SEWER (INVERT LEVELS) -)epzh at foundation wall Depth at septic tank .SEPTIC TANK / �jC ^leanout located ft. from an ft. from 'Manufacturer Size loov gals. Depth to cleanout 91_e. f LEECHING Sv!STm4 Description Effective area 2,5-0 sq. ft. Required effective area L193— sq. ft. . ,pacing between units_ /Z ft. 100% reserve area provided �--� Bottom of leaching system 18 inches above maximum Water table L--- notzom of leaching system 4 feet above ledge rock Bcztom of leaching system inches below final grade. ?umpiag required '"` Curtain drain required serial distribution }/eS Level system ,re^ia+-� SEPARATING DISTANCES sr t r.A l� -e" located ft* from gnd ft. from Distance sewage system to well on property/0 0 '(- ft. To water service ft. Tc w-w 1 on adjacent property No-r- ft. To property line ft. To *house served 2S ft. ©v�r To dwelling adjacent property To nearesz watercourse ft. To nearest ground or surface water draial Q o ft. ^eviewcd/Inspected by O L Title PIAN/INSTALLATION APPROVED r/ DATE IIISPECTION FEE PAID �/� TOWN OF SOUTH WINDSOR t HEALTH DEPARTMENT Application for permit to install a new/repair subsurface sewage disposal system. To the Health Department, Town of South Windsor. Fee Paid o10 �,A Date 7-,i CZ Permit Number As a subsurface sewage disposal system installer licensed in the State of Connecticut, 1 1�c c '4 04' `we �/ ��f loitt�:—&o_ �'s�s_ ®e 31,6 4, Name, Address, Telephone Number, License Number hereby app,ljy for a permit to construct/repair a subsurface sewage disposal system located at `KK, [_(.iiZ- and owned by �/C!� Co�e� Street, Address, Lot Number Name Address Information to be supplied by Applicant: Type of dwelling 6 Ce'5 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 , I Pumped or gravity flow, Type of water supply U-.- / If private,type of well C/o,i/�GcL 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 1420 Type of system ZL6n,, S i✓�^t.-� Trenches,Drywells,Etc. Number of dry wells, trenches, etc. Distance between individual leaching units. Distance from well on same property -2571 on adjoining property 75 Curtain drain required kvo 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 by �/ � vo-ZZGGDate Signature of Applicant&License Number For Office Use Only Permit issued by Of. Date System installed by Final Inspection Approval Date DONALD B . FAIRBAIRN 28 WILLIEB STREET GLASTONBURY, CT. 06033 (203) 659 - 3193 Mr . Robert Deptula South Windsor Health Dept . Town Of South Windsor 1540 Sullivan Ave . South Windsor ,Ct . 06074 Property : Eric & Cydane Lopes 457 Niederwerfer Rd . S . Windsor , Ct . Dear Mr . Deptula, I have reviewed the as built plan and the site . The septic system that has been constructed on the site does comply with the Public Health Code . The location of the septic tank and trenches are as proposed . The inverts are slightly above the proposed elevations . '" _ Sincerely , 00W. 11 . Donald B. fairbairn, P .E. -c Ad r (/ t Scrf yo _ 12)