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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 S�• .. Y iL5 tS S lr� , �'� �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.' � l���.ti�`����.b�{�d''M"' t�,r.'.�t � •�"r l 3 �, r ,�i y j� ' . ( I 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 gl.iiti!i �++vi+� e 8 iS'•<' .+�a.1,w»a1. re A ' .g1�O,iV.._ ;y�+��M oirrsoy� it� � `� '�N '•'J"9� a iraJ`c+'�.�..t ,,;P�'J sd'iA.s►ddG✓ „Oh ->- /yl�/.yG' '�.1'� �i;;iv�:a' >�,�;�iv,v»L 'Nn�vJ ..•tea--, 6'7J 01,Y0. 0V �''1 d'O N c�1 d•�ti�:�'.?r� �£s' a� �/�G.; .r i.S'1 �.✓�l J.`:f' �!Fl..rc}'.ch�/.r �3':`.`,.S.i',^ i?'.qJ" r-/,1'F.� "7' Ord!6i70-'i+ I NG/1 S'�.:�9�� *1/✓//�'O I OsY �.' .7 J.. .�•_• .ter• L.3".�.`r'�Y,.a?�.+' .. Av Ll -,7 • d% 391 Olk 07 V U V ^� a \t 1 ��� rs 's.►+�Is�' �r/'t t� ,oa'Lt/ o8c !'l, v/7 a� is pppp- a81 dl 3� ,