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HomeMy WebLinkAboutSeptic New 92 Wendy Drive TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. TO THE BUILDING DEPARTMENT: Date CJ 19 A permit is request d for rep 'r or construction of an individual sewage disposal system concerning which the following information is subm ted: r is 1. Owner of Property A ddress of Owner l 2. Location of Prop rt Lot. No. ' o 3. Type of Structure No. of Bedrooms z(D ing,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 12 " ,e—dy 5. PlumbingFixtures: Water Closets ,>`� Urinals Lavatories_ Bathtubs Showers_/ Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tan W 4R5LP Material of Septic Tank ,e'er 7. Soil Conditions: Type of Soil .. Maximum ground water table,f?xt_Q.... (Sand,Gravel,Clay,"ee c.) 0 8. If not served by public water supply: Distance from Owner's well from adjacent wells 9. Distance to nearest water course, drainage ditch, storm drain or embankment 10. Percolation Tests: Time for 1" drop in soil test c2!?e2t2e � _ Classification of soil 11. Minimum square feet of effective seepage area required_ 03 � 12. Leaching System: Number of trenches�� Length Width �, _ Total Other Signature icensed Installer) (Sketch showing all minimum distances and other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved lg By FOR eUKD1NG PURPO ~ SES ONLY i r - N i tt� Jt4 �w. 536 tie ing Lot Itio . 3 oil ;:icy;: ert: i r, Ie,I r'O, arty of I NO . 0out1► J i nrisor , or r� . 'cii 1 c 1l,,n , i'rooks' Cate 1 " __ .gyp' HIAY;)EN L . C . I :...CLP . 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 __i� � /�`� Date 7 Permit Number As a subsurface sewage disposal system installer licensed in the State of Connecticut, I -?"U'Yti PA/LKe/L 15k005 — P_ Ch C30x Z9 .0 L.L/JGrdA.J $?SZ332d+`Z Z ¢7 Name, Address, Telephone Number, License Number hereby pply for a permit to construct/repair a subsurface sewage disposal system located at 9 W£,laY DPL S d w L n/D 3 and owned by �I 004 A4 A/L(,v fLL 1 Street, Address, Lot Number Name RQ� 6Vf AcJ PV 3f2 15n, 7J-1 4J i N.-PS at-_ Address Information to be supplied by Applicant: Type of dwelling If non-residential, estimated daily flow esidential, ommercial,Etc. Number of bedrooms 3 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 EDIPrivate 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 /Z " V'14/*7 — (- e.1 S7'DN >` 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 YeAZD (( Height of system above ground water IF� 4- maximum ground water , ledge 4 4 , 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 HE HEALTH DEPARTMENT. Permit Received by Z ¢ Date SfofApplicant&License Number For Office Use Only Permit issued by Date System installed by Final Inspection Approval Date 12/22/2006 FRI 10:00 FAX 860 644 7280 South Windsor Town Hall U001 *************************** *** FAX ERROR TX REPORT *** *************************** TX FUNCTION WAS NOT COMPLETED JOB NO. 2555 DESTINATION ADDRESS 9870428 PSWD/SUBADDRESS DESTINATION ID ST. TIME 12/22 10:00 USAGE T 00, 00 PGS. 0__. RESULT C_�0 #018 BUSY/NO SIGNAL INUSTIQUOUN F R SEWAGE DISPOSAL SYSTEM OWNER .7` •_h M&L�.i H qti LOCATION PERCOLATION TESTS: (Record all tests). SOIL MOISTURE; a cL DATE (high, med, low, etc) READINGS HOLE#I HOLE#Z - HOLE#3 HOLE#4 Time Readin Time ReadingTime Reading J Time Rendin TABULATION OF TEST RESULTS Hole Lecation Depth Presoak Minimum Percolation Rate Inches (ITM) . insJl eh 1. . 2. 3. 4. OBSERVATION PITS: (Record all pits) Ground Water Table: (One) (Near Max,Below Max) SOIL DESCRIPTIONS _ PIT A PIT B -- PIT C PTT D o Y ^f fIt 'tea _ 12/22/2006 FRI 10:00 Planning 0001 ***************** *** TX REPORT *** ***************** JOB NO. 2555 ST. TIME 12/22 09:54 PGS. 1 SEND DOCUMENT NAME TX/RX INCOMPLETE ----- BANS K ----- ERROR 9870428 INVESTIGATION FOR SEWAGE DISPOSAL SYSTEM OWNER S'J�z1�:ti MC,j^rGti LOCATIONo Gy d u _ PERCOLATION TESTS: (Record all tests) 7--/Y--* SOIL MOISTURE: cL DATE (nigh, med,_ low, etc) TEST READINGS HOLE#1 HOLE#2 HOLE#3 HOLE#4 3'ime ReadingTime Reading Time Readin Time Reading TABULATION OF TEST RESULTS Hole Location Depth Presoak Minimum Percolation Rate inches (HM}_, ins.lIneh 1. . 2 5 3. 4. OBSERVAlioN pas: (Record al!pits) 7—0;P3 Gwund Water Table: (Date) (Near Max.Below Max) SOII,DESCRIPTIONS PPT A PIT B PIT C PTT D o Y _fA.,40 ft Loy 71a y- I6 �f�G�tf4.�d • 08/24/2007 09:24 8608750428 SKIP'S PAGE 01/02 8M S SEPTIC TANK SERVICE INC. P.O.sox 29 ELUNGTON,CT 0602M29 SEPTIC SYSTEM AS-BUILT PLAN Street Address&Town Permit Number. New Septic System Repair of Septio System-Alteration of System Number of Bedrooms 3 or Design Flow of Building Type of system installed: _ Ct_'A_.�i (e.g.state trenches,infiltraWs,galleries) Square footage of system;Total.length 8 Width Ef6ective Area 5 +� Capacity of Tank 5a © Tanis:Now C_Ex song .. Length of house sewer pipe Z i Minimum distance between septio tank and foundation Minimum distance between leaching field and foundation 3� _ Minimum distance between sewage system and nearest well Public water supply_ k t Minimum distance between leaching system and property boundary Curtain drain required? Minimum distance from leaching system to drains .ry (curtain,foundation,siormwater,etc) Draft Drawing on Reveres Side , 08/24/2007 09:24 8608750428 SKIP'S PAGE 02/02 SEPTIC SysTjEm As-BUILT PLAN (CON'T) Address e, r 4/4 tom-Date 9' 2..3-a7 Looation of System ti ' •SDu ! side of house (K S.E.W.,font,back)- - -- - Draft a substantially correct drawing showing separation distances of septic syste n installation. Include all of the following informetion to provide an accurate record of the entire system location: At l t e syst p eno ends,dry wells,ourtain drain,potable afar supp Wells•and any other features affecting the system and its location, vG Orr vixet. 't-aAt CID ve A.,1 K ' S u Iste- - a5 Z Point #1 42 #f3 #4 #5 *6 97 #8 #9 410 Distance comer°A" 26 2.�{.3 7�r3� Yg2.3 • MdnC9fr011ICMiiCr°B" W.``� JZrJ/ �D7 r L7'jr�' 7/r�e' d4�r�/ ��.�', • y4'/ � gP 7 `o •Dislat►oe from comer"C"' Mom fvm wnor"D" Rq*09I71M "rp.of In t& �!S �r.p op OoHtt ►f, 64 fc oar �/,gq oaf•a� l/n�fS S,f S ' cdurH W/cvZ>sa lc-F-Q u!/L-Q) 1600 6 f}"O^) -`14-.,/k - 4 R'5 6/-/q !3-00 6A - 2 eMfP/ty2Tyrfvr _ Cesn! CxE?f A14104ovc Z) � P—j S92,S 73_ 4)/7Y✓nf el'Aj44_ C2« �d _i t 9g-c14 ,, a --ic4 13 ,8 of _qu/!�- C *,a€ S Wl7w S-nN S x 3, 417 Sic:-- CL 4 N a?TS NFcy �S4YS7�ri-, G.�►fl4. 'Te /.Oj.i'7?3LL€ 2) 95 hlclal Pa$S!gL¢f- $077'7^ 5 44-1 11-t' x 19N to € 3 `C IF X(S 77.-J6 k£Aclq Al-e:&Z 4,,j!c L elk icy of gIVCgAJ7V w,47V-TLE;i) -0' _ 7Z€/tea dC GJrn/ laPPiCoVED_ i SFLecr " Spa ^6 NC 2) C r���y _ 4- � Pam i1 �JN �'riM sD( 4 t vr��'t� S t Eta f l- s if/h 4" scat 4a �N�� CtJn►r� �a_?"�'� v a n ec kC4%NC%! �3a7�vv►� -P CID - _ s14 OlpS�f�s _ soon INVESTIGATION FOR SEWAGE DISPOSAL SYSTEM OWNER V I��CLi LOCATION_ U PERCOLATION TESTS: (Record ail tests) 7—If-- SOIL MOISTURE: ed,o cL, DATE (high, m low, etc) HOLE#1 TEST READINGS HOLE#2 HOLE#3 gp Time Readin Time Readin Time Readin Time Readin TABULATION OF TEST RESULTS Hole Location Depth P Presoak Minimum Percolation Rate inches Imo_ ins./Inch 1. 2. 3. 4. OBSERVATION PITS: (Record all pits) 7-063 Ground Water Table: (Date) (Naar Max,Below Max) PIT A SOIL DESCRIPTIONS Y —f f Gay PIT B PIT C PTT D .fib, if