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HomeMy WebLinkAboutSeptic Repair 516 Strong Road 05TSTIGATION Fn�t cFut .AGF nTCPl1Q A r cwc.•n.,� OWNER LOCATION ,S"l.6 f PERCOLATION TESTS: (Record all tests) S-26 .17 SOIL MOISTURE: DATE (high, me o etc) TEST READINGS HOLE #1 HOLE #2 Time Reading Time ReadingHOLE #3 HOLE #4 Time /o zr ©r Reading Time Reading to toy l2 l0 3f la 'lz 10 3 3 /3 TABU .ATTl1N f1L�•,rt.c..�..,.. IUI Def3 pth Presoak Minimum Percolation Rate MML- 1. 2. 3. 4. OBSERVATION PITS: (Record all pits) Ground Water Table: (Date) (Near M Below SOIL DESCRIPTIONS PIT A PIT B PIT C -top o-Y —70� PIT D /S-10 couive 'F&..d 1��D iv6sb,!'/ ®- °� 0-2 .�'to� ?b-•Sy- w.ed Scc,a� ®�68� M��d r�,io� ►��lY - TaKd �i// z^ �-S Fi!1 68'�7�rco��fr fond /y-,�r=ort�1�.,P 7'af 3o-Ya^ohlffw�P-ra� `aY</ WOHO? - y8' 3S-b�Fl-weed^cm�rsr fa.td -.w -- `7 f- TABULATT . Elf L=lion Depth Ledge A Ground Soil ' -- Mottling vvu�ia Yy 1llubuf nealw uepartment SPEC'IAI. CONDI C[M System design larger than 2,000 g.p.d. Water Supply watershed High ground water(less than 4 '2 ft.) Possible seasonal high ground water Watercourse,marsh or pond Possible seasonal flooding Limited suitable area Slope over 15% Marginal soil(30-60 minsJinch) Shallow ledge(less than 7 ft) Underlying tight soil(less than 4 ft) Other L___� CON('r,rT�rniv Suitable for sewage disposal xarsUnsuitable for sewage disposal Additional investigation required R A a Retest during wet season Engineer's plan required DESIGN RF(`nMl� ENp..,.T.,, S ♦11•■■� 1\■1L� ■ ■■ ■IV\ Investigated by Title Confirmed/Witnessed by Title Comments: Bench mark location • Elevation town manager/molloy/deptula 99/invesdption for sewage disposal sysum TOWN OF SOUTH WINDSOR HEALTH DEPARTMENT Application for permit to install a new/repair subsurface wage disposal system. To the Health Department, Town of South Windsor. _ 9 Fee Paid Date 0 / Permit Number As subsurf e',sewage disposal system staller licensed in the State of �nnecticut,_ I_ Name, Address Telephone Number, License Number hereb apply for a permit to construct/repair a subsurface sewage disposal sy tem located at and owned by /�L✓Y`.� Street, Address, Lot Number Name Address Information to be supplipfl by Ap lican : Type of dwelling If non-residential, estimated daily flow Residential,Commercial,Etc. Number of bedrooms Size of lot Number of fixtures above asement Tubs,Sinks,Toilets,Etc. Number of fixtures in basement, if any , Pumped or gravity flow, Type of water supply .4 e-- — 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 NORI IS THIS SYSTEM GUARANTEED BY THE HEALTH DEPARTMENT. Permit Received b Y � ate Di_/ 4ureofpplicant&Li ense Number For Office Use Only Permit issued by Date System installed by Final Inspection Approval Date