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HomeMy WebLinkAboutSeptic New 50 Vintage Lane 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 J Permit Number As a subsurface sewage disposal syst m installer licensed in the State of Connecticut, I v Z�1 3 oor Name, Address, Telephone Number, License Number hereby apply or a permit to construct/repair a subsurface sewage disposal system located at and owned by .7'�jeAole.S 4>1X6 61c Street, dd s, Lot Number Name LL�i w Address Information to be supplied by Applicant: Type of dwelling If non-residential, estimated daily flow Residential, ommercial,Etc. Number of bedrooms t/ Size of lot Number of fixtures above basement 3- Tubs,Sinks,Toilets,Etc. Number of fixtures in basement, if any , Pumped Q ravity flow Type of water supply If private,type of well Pu E ivate 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 b o c3L­ Date 5-11S71119 S Signatur li &License Number For Office Use Only Permit issued by Date System installed by Final Inspection Approval Date Septic System As- Built Plan Address ��j/�(t �-C /4.�(�' Date Location of System 5 6 F A .(N, S, E,W, front,back side of house) Draft a substantially correct drawing showing separation distances of the septic system installation. Include all of the following information to provide an accurate record of the entire system location: At least two sides of the building nearest the system, septic tank,house sewer,distribution boxes, trench ends,dry wells, curtain drain,potable water supply wells and any other features affecting the system and its location. Installers Nam- 1 c---cZ Installers Address 6-7 2t D 6-L (street,city, state and zip code) _ - --_ �1 _ l7 CO Distance from corner A. Sa 5S' ©' C 6`r 6, ` /.2 Distance from corner B sV6 ' �'6" 7 ' Distance from corner C Distance from corner D May 22 08 10:46a Jacques Construction 8604322610 p.3 05/2-2/200B 09:23 9607476455 I VAUL alrel IMTL Aceraate information you can rely on. Soil Gradation Report =PC!T;nVlNT�AGE WASH ASTM D-1140 ANE,SOUTH WIIJD " PROJECT NO.: $502 CLIENT: ANDRE CHARBONNEAU&SONS REPORT NO.: 001 LAB NO.: 24457 DATE: 05/21/08 USE: SEPTIC SAMPLED BY: CLIENT SPEC A: CT D.O.P.H. SOURCE: EAST WINDSOR PIT REVISED-' *05/22108 GRADATION RESULTS SIEVE# %PASS SPEC.A 75 tnm (Tj 100.0 10D 4.75 xnm (#4) 100.0* 100* 2.0 mm (#10). 93.1* 70-100* 425 pm (#40) 42.3* ' 10-50* 150 µm (#100) 7.1* 0-20* 75 µm (#200) 2.4* 0-S* COMPLIED WrM: SPEC A. YES ...AS PER GRADATION ABOVE SOIL DESCRIIMON: RED/BROWN SAND;TRACE GRAVEL;TRACE RINES *PERCENTAGE OF SAMME LESS GRAVEL, REMARKS: PERCENTAGE GRAVEL(+#4)=4.8% No.177R1 �� *REPORT REVISION. PROJECT NAME ; flC.�ISE�,.�, ' plot 91tta REV1EyVED BY: pc: Kevin Cbarbonneau,Andre Charbonneau&Sons/Bob Devito,Town of South Windsor ld Indepemlont Matedah Testing Lalwatoriss.Inc.. T 860.747.1000 1=1I@imdct eom Tat a:poter may wt be teptoduced except is FA with 57 N.Waskdagmn Sn,P.O.9=745,Plaimilla CT 06062 F so.747.6455 www.imdct.coni Ten teporo�rmw not be wiW of IMM AA ltmd byes etnrnc to the m,,qua adenhmentby[VIAPa any xpwja dr xCronroman. May 22 08 10:46a Jacques Construction 8604322510 p.2 KW. 22. 20086 8-;27AN66074.861)2916191 � � w. 7ovi r. E 05, � r rvvv IMTL ,U,W,zu fttfnrm wox you sax rely on. Soil Gradation Report GRADA'TT -422•WET'WASH AM I)A 140 PR47BCT: PlM=ROAD.SOUTH'GV pR078E•I'Nd.: 8502 ANDIF'fi CHA ONNEA�dt SONS REI'OAT NO: 001 T�AENO.: 24457 DATE: 05/21/a8 USS: SEP7'1C Sf►IuiPLBri BY: CLIENT SPEC A: Cr D.O.P.H. SOURCE: EAST WINDSOR PIT ORADATWN RESULTS SIBVB# %PASS SPBC.A 75 3= (3'1 100.0 100 4.75 mnn (! ) 100.01t I00* -2.0 imm (IFIO} 93.14 70-I00* 425 (t€4fl} 42.3* 10-50* 150 0100) 7.1* 0-20* 75 tots ( i0) 2.4* 0-5* ICohan ED WITH: SPEC A: YES ..AS 7ER GRADATION ABOVE . SOIL DESCRIPTlQN: RMIBROWN SAND;TRACE GRAVEL,TRACE FM *PERCENTAGE OF SAWLE LBSS GRAVEI. 1tfii&j=. PERCWrAGR GRAVEL(444)a 4.8% �•; �a r Gti `• w r' �I sty "gfj�IITO" REVIEWED BY• Pa: Kevin(3m au, ndra Clwrbomtean do Sams/Bob Devito,Tewa of SouthWfn&or Id indopsndwd Matt"L-"Towing Laboratories,hia. T 660.747.1000 nagGimda casn Tde m ores am not 6e .Qd mer in fMU-kh 57 N.V A n 5L,20.Box 745,Pl hwll r Cr 06062 )F 860.747.6455 vmwJjnda CDM oF ll�[TL.AD MOW�dti a to du two*c od tn$t'° npeea��be.sed by eGere a efairn�daet Ir/NVi�IP ataar�rngatdre LJS CiOrCeli11177G II 'i 'Illl ��, lill I i, �ii I. III '.. '' �' ', �, �. � II i � � I� i I�� . � � � � ��_ RECEIVED JUN 0 3 7008 SOUTH WINDSOR ENGINEERING DEPT. LIMIT OF 80 UPLD REVIEW N�F AREA ANITA C. ROY 8T381315"W - 322.53' X325.4 — — -- —2(�_S.Y. ,s SyO N� 328,8 �330 X331.0 O� \ ,326 ` LIT X327.0 ` f Ll #10 / P - - - - - ` X331.7\ ' ` \ 46/ 63 Sfll / PORCH X326,5 /� 0 21L7 0 Q 1 TF:328.08 12.4' ■ ■ r�'' I d INV.325.�'t(F) `` INV(6"W):324.88 -or 10 _ \ ` �Q' . _ INV(15"E):324.33 )SEPT. 2 n4.9 1 `X329,6 - 1NV(15"S):324.28 S + o' m 1 INV(6"S):324.88 TANK + H EXISTING HOUSE UA TOi12.s -IJ TF 511INV:32 86 O TORGAR 33358 INV 24.461 \NI DECK'* 2. ROXANNE M. & yQ IW ` 1 WALKNc.�� w ROBERT. J. MONGEON 22.4' 329.7 11 " XX �330,1 1 333.4 'W tl X332.5 I EX. BIT, DRIVE 3,9 I ii II►►�� �) ` \ X331,1 =55.00 20' S.Y. ,+ X332.8 F<Fcj� \ \ =9$•691 F /� PARCEL zaNm RURALRESIDENTIAL W. X329,0 , - - - _>(3341- - - F</0 \ Tan=68.$6 tk102.41 '20" '� 2 UNDERGROUND UTILITY.S M07URE AND FACILITY LOCATIONS DEPICTED 1h AND NOTED HERON HAVE BEEN COMPILED.IN PART,FROM RECORD MAPPIA/ IT`\ \ \ GOVERNNTALSUPPLED BY THE RESPECTIVE UTILITY COMPANIES M p, ..II ^336— '_ ` GOVERNMENTAL E LOCATIONS FROM sr BE IESTMONY AND FROM OTHER J AJnj� 2'10r 11 — II SOURCES. THESE LOCATIONS MUST BE CONSIDERED As APPROXIMATE �� J 1 � 9H NATURE. ADDITIONALLY,OTHER SUCH FEATURES MAY EXIST ON THE ��.���.r ♦ SITE,THE EXISTENCE OF WHICH ARE UNKNOWN TO DESIGN N67'38'36"E X337.5 - - - - - ' -` \� 11 �� PROFESSIONALS,III THE SIZE,LOCATION AND EXISTENCE OF ALL SUCH _ it QQ X333,4�� it FEATURES MUST BE FIELD DETERMINED AND VERIFIED BY THE Lot #V \ // APPROPRIATEDIG EA 4�RITES PRIOR TO CONSTRUCTION.CALL BEFORE YOU ' \ II II SURVEY NOTES: ii.THIS SURVEY AND MAP HAVE BEEN PREPARED IN ACCORDANCE WITH SECTIONS 20-3000-1 THRU 20-WO-20 OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES-'STANDARGS FOR SURVEYS AND MAPS IN THE I STATE OF CONNECTICUT'PREPARED AND ADOPTED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS INC.SEPTEM90 26,1990. -HORIZONTAL ACCURACY MEETS CLASS A-2 AND VERTICAL ACCURACY MEETS CLASS T-2. -THE BOUNDARY DETERMINATION IS A DEPENDENT RESURVEY BASED ON MAP REFERENCE l TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON. -TYPE OF SURVEY IS AN IMPROVEMENT LOCATION SURVEY-RECORD,AND IS INTENDED TO DEPICT THE LOCATION OF PROPERTY LINES WITH RESPECT TO EXISTING IMPROVEMENTS. n MAP REFERENCE: (/ 1. "VINTAGE HILLS". SOUTH WINDSOR, CONNECTICUT 12327 PREPARED FOR JACQUES CONSTRUCTION, I.I.C. BY DESIGN LAWRENCE R. GEfSSLER, JR., L.S. LTC. No. PROFESSIONALS,INC. DATED 12-03-01 REV. 7-18-02, SHEETS 8-11. 1.UNLESS OTHERWISE NOTED,EXISTING UTILITY REVISIONS Tel. 860.291.8755Fox 880.291.8757 PUN PREPARED FOR: SHEET SHOULD B As SHOWN ARE BARED oN 40 GRAPHIC SCAM 0 40 go� VINTAfs�E HILLS L:iSTATF,Sy L.L. AIV�1Z�!►u'�fwC,t'A0Rypl, AVAILABLE INFORMATION.ALL EXISTING UTIUTES , ` SHOULD TI FIELD VERIFIED PRIOR CONSTRUCTION. � 2.ALL UTILITIES ARE 70 BE STAKED IN THE FIELDBY A LICENSED LAND SURVEYOR PRIOR To 1 3.THIS CONSTRUCTION. INVALID UNLESS IT BEARS THE 1 S/30/08 ADD FINAL GRADING MHA civil engineers • planners • surveyors LOT L. *10— 30 V JL1�7 1L L'l1GE LANE APAINV B): MHA ,A29 Al 143D-11N8 �F IMPRESSION SEAL AND ORIGINAL SIGNATURE 1 inch = 40 ft. landscape architecta • g o •- a 1 OF THE PROFESSIONAL ENGINEER/SURVEYOR. NO. DATE DESCRIPTION BY TOWN STATE 5'1' LRG DA7-- 5/15/W