HomeMy WebLinkAboutSchool New 367 Smith Street f ..
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut ��7
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date /y — a Z 196,57
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is subm'
1. Owner of Property Address of OwnerLJ
2. Location of Property Lot. No.
3. Type of Structure No. of Bedrooms `�
(Dwelling,Commer 1 Buildin tore,etc.)
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets Z Urinals avatories ;-7 Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 00 _Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table X614-0—
(sand,Gravel ay,etc.)
8. If not served by public water supply: Distance from Owner's well / from adjacent wells 5
9. Distance to nearest water course, drainage ditch, storm drain or embankment_
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required J-6-0
12. Leaching System: Number of trenches_ Length .6 Width Total
Other 1.59 40
Signature
(L cena d staller)
(Sketch showing all minimum distances and other details required be0ow
Permit Issued 19 By
Installation Completed, Inspected and Approved 1g By
MAP FOR N4OFIG AGE'PURPOSES �N, i` ea c/ / ti firer,
a 436 .o s Iti� _ q 9 s51
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�'� �titttrr,� �� •
GUNr�t J t
r
A,A� `�:.!t%�.r�+r� %•/ ''"'�'� � -. i/V 7'�c ..L.w , r r.�;tom'J ..
.1t:t0yfcenlo this map to be.
substantially pofrect and that no
o4ing regulations are uiolaied.'
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TOWN OF SOUTH WINDSOR
LTH DEPARTMENT
Application for permit to install a newer pai subsurface sewage disposal system. To the Health Department,
Town of South indsor.
Fee Paid C�J /�, 6�� Date "y- �` �/ Permit Number
As a subsurface sewage disposal system installer licensed in the State of Connecticut, I
-;i OX75kd c>-
Name, Address, Telephone Number, S.g. — 68 Q License Number
hereby apply for a permit to construct/r pair a subsurface sewage disposal/system locate J,, al
_ 36 7 S'�, A /�� s;CUi�4'�Dt and owned by �(:�_/
Street, Address, Lot Number Name y
Address
Information to be supplied by Applicant:
Type of dwelling 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 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. 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 `-' Date
Signature of Applicant&License Number
For Office Use Only ,Gf�
Permit issued by Date
System installed by
Final Inspection Approval Date
=SRM4AlC:) SRM4A2C
GROUNDED TYPE 115 OR 230 —I
VOLT RECEPTACLE. MIN.HEIGHT
ABOVE FLOOR 4 FT.
a
a
•
o
o
PUMP CORD IS 20 FT.LONG J
AND IS'16 WITH 2 POWER o "
AND ONE GROUND CONDUCTOR. r
c o �
0 q
SEALED COVER
9
' o
u
2"SHUT-OFF GATE VALVE
2"FREE FLOW CHECK VALVE
2"OR 3"VENT PIPE AS n
REQUIRED 13Y LOCAL CODE
n
E"UNION
� � a
I01/2"MIN. SUMP BASIN GAS TIGHT COVER,18"MIN.DIA.
FIBERGLASS OR POLYETHYLENE
21 DISCHARGE PIPING CAN BE ASS OR PVC
PLASTIC WITH PROPER ADAPTERS OR CAN
BOTTOM OF _
BE GALM STEEL
INLET PIPE'
- TURN ON LEVEL
MERCURY FLOAT SWITCH
IT"MIN.
SRM4AIC 4/10 HORSEPOWER—,
115 VOLTS
OR
SRM4A2C 4/10 HORSEPOWER TURN OFF LEVEL
230 VOLTS
IS'
TYPICAL'INSTALLATION DRAWING SRM4AtC OR SRM4A2C SEWAGE PUMP
WITH MERCURY FLOAT SWITCH
1380OA991 Figure 3
SSM33A1C & SSM4AIC
OROUNCED TYPE 115 OR 23OVOLT
RECEPTACLE,MIN.HEIGHT r
/ ABOVE FLOOR-4 FT. ' r
\ o
� o v
MN.SUMP DIA.12' ' _ I POWER CORD 10 OR 20 FT.LG." e
Na 16 WITH TWO POWER
AND ONE GROUND CON- s
DUCTOR.INSULATION ON P
/ 20 FT.CORD CONDUCTORS
_ AND JACKET
U. AND CSA APPROVED. Q'
A
p.
p
D..
i
11/21 CHECK VALVE AND 11/2'SHUT-OFF
RUBBER SLEEVE CONNECTORS GATE VALVE(OPT)
n
101/Z MN.
SUMP BASIN 12'TO 8'DIA,
PLASTIC-FIBERGLASS OR CONCRETE
11/2'DISCHARGE PIPING CAN BE ASS OR PVC
PLASTIC WITH PROPER ADAPTERS OR CAN
BOTTOM OF BE GALV STEEL
INLET PIPE IF COPPER PIPE IS USED BE SURE TD
USE THREADED PLASTIC FITTING IN
PUMP DISCHARGE OPENING TO CONNECT
TO COPPER PIPE THREADED ADAPTER
TURN ON LEVEL
14"MIN.. - --LIFTING HANDLE
MERCURY FLOAT SWITCH
t '
7TOB"
SUMP PUMP MOTOR — •J� 12=13'
_ TURN-OFF
aLEVEL
TYPICAL INSTALLATION DRAWING SSM33AIC OR SSM4AIC
SUMP PUMP WITH MERCURY FLOAT SWITCH.
1380OA991 Figure 1
O
__. Adyers
INSTALLATION, MAINTENANCE,AND
SERVICING INSTRUCTIONS
FOR _ ...
MYERS SUMP,
EFFLUENT&SEWAGE PUMPS
MODELS SSM33A1-SSM33A1C-YSSM33A2
L SSM33M1C-YSSM33M2
° --- SSM4AIC-SSM4A2C
-- SSM4MIC-SSM4M2C
SRM4AlC-SRM4A2C
SRM4MIC-SRM4M2.0
SSM33
SSM4 SRM4
13800A991
�,c� oaf' i,►�G�� �4c`�- HZ
t
a �'tin,eee.
���erno from
n;
TOWN OF SOUTH WINDSOR j
TOWN HALL
SOUTH WINDSOR. CONN. 06074
F
TO Mr. & Mrs . Richard Molloy
367 Smith Street DATE July 17, 1989
South Windsor, Ct.
L J
SUBJECT: The Attached
FOLD-
Dear Mr. and Mrs. Malloy
Attached is the information for septic system design.
Attmt. Robert Deptula, R.S.
By Environmental Health Officer
MIN !Q SOUTH W INDSOR HEALTH DEPARTMENT A2YZ. ,A'yC�I •
-
=7==r-AT' CR FOR S-EWAGE DLS?C'S..AL SYSTT
owner sYl'i LCC.�TI OR ��7 Cln. �z .�Lrv'
P=orATION T==: (Recor3 all. testa) -.rfl SOIL MOISTURB:
Date alga, med. low, etc
TZST RE ADI F0S
HOLE #i ECT.7. -CLR #3 EOL£. ,#.
Time Reading Time Reading Time Reading � Time Readi:.
10
TAEULAT10?f OF T-cT ?=LILTS - -
Depth Presoak '•�� •percfll8tioa Rai.
Hole Locat:.oa (Inches) Ers. ) (Maas.
1
2
3
4
C3SME ION FIT`": (Recard al.l pits) --E-�9 Grc=d '"tar T- ahle:
elow Max*
' GO'LL n�CRZ?'"IO?3
c
4 �,_, 8 I p rr"
G t C/ay x
Y-36-/jr S%l� 34-vt - 91-A 7, shy ay_S'' �fi.se f 14 -36 -off i �S,-W
YL
TABULA'110IQ OF OBS=,-R7AmlQA rii'"S
"'p'f< Gr cazd Soi-
pth L_'ige At Water At Mctt---
Pit Tlocstica
A
B
c
D
FC1R2+I, r SOUTH WINDSOR FF-EALTH -2- Iavestigatioa:for Seaie, rdspoaa% .s s-
DEPARTMENT
SP=IAL CONDITIONS
System design larger than 2.,000 g.p.d. Water supply mtersred
gigh ground water (less them 4j ft.) Possible seasonal�-
ground water
Watercourse, marsh or pond Possible seasonal flood-4ig
Limited suitable area Slope over 15%'-
mar'- nal soil (30 - EO mins./inch) Shallow ledge (less than 7 •)
Unde_ra yang tizht soil (less than + f''t) other
CONnTiSICIr
ind vita
Suitable for sewage disposal
+ Unsuitable for sewage disposal
Additioasl investigation requited
Retast due-mg wet season
sneer's plan required l•� :�'1��� ct�..,. .,1�
OLIArW
h..
AM
.,�,,,s,l � Dry GN F�OF�QtDATIONS
1 `
az _
Investigated by , Title ez
Confl=ed/Witnessed by Y Title
Com:aents
Bench-mar- location c^,leration
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