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HomeMy WebLinkAboutSeptic Repair 94 Wapping Wood Road NORTH CENTRAL DISTRICT HEALTH DEPARTMENT www.n hd.or rl wski�nCdl,d.org EUG .S. S OF.- EAST GTON•ENFIELD•STAFFORD SUFFIE y ., RNON•WINDSOR LOCKS•WINDHAM { ❑Enfield—31 North Main Street,P.O.Box 1222•Enfield,CT 06083 860-745-0383•Fax 745-3188 ❑Stafford—Town Hall,1 Main Street•Stafford Springs,CT 06076 860-684-5609•Fax 684-1768 Vernon—375 Hartford Turnpike,Room 120•Vernon,CT 06066 860-872-1501•Fax 872-1531 ❑Windham—Town Hall,979 Main Street•Willimantic,CT 06226 860-465-3033•Fax 465-3032 North Central District Heai!*Palrtment ❑Enfield-00 Main Street-P.O.Box 1222-Enfield,CT 1 (860)746-0383 Fax 7453188 ❑Vemon-375 Hatford Turnpike,Room 120-Vemon-RockvilC (80) 72-101 Fx872-1631 6 a ❑Windham-Town Hall-979 Main Street-Willimantic,CT 06226-(860)466-3033 Fax 465-3032 ❑Stafford-Town Hall,1 Main Street-Stafford Spring,CT 06076-(860)684-5609 Fax W41768 Permit to Discharge Private Subsurface Sewage Disposal System Approval is Hereby given to: Jeffery Clark In accordance with Public Health Owner(To be transferred to all future owners.) Code Section 19-13-13103e (h), to discharge to a subsurface sewage disposal system Located at: 94 Wapping Wood Rd. Ellington , installed by: Rand Wells 03579 E�I_L-5936 Lot# Street# Street Name Town Licensed Installer License# Permit# System Data N Septic System New (New Lot) ❑Septic System Repair ❑ B-100a ❑Other ❑ Other Description of property served: 4 1500 12" High Leaching Galleries and a stone 996.8 Gravity 600 600 Bedrooms Tank Size Leaching Area Type Size Discharge Type Design Flow Permitted Flow (GPD) (GPD) Note: The design flow must be limited accordingly for any repaired system that has an undersized leaching system or where the naturally occurring soil has limited hydraulic capacity based on Minimum Leaching System Spread (MLSS) non- compliance. In order to provide a sufficient factor of safety it is recommended that the average daily discharge not exceed 2/3 of the permitted flow or 400 Gal/Day RESTRICTIONS AND/OR SPECIAL REQUIREMENTS: The private subsurface sewage disposal system serving the above property was constructed in accordance with plans submitted to the North Central District Health Department and the terms of the Permit to Construct issued. Proper operation and maintenance of this system is required including pumping of the tank as needed but no less frequently than every two(2)years.As of January 1,2004 new septic tanks are being installed with effluent filters which may require a more frequent cleaning above and beyond the five year tank pumping cycle. Failure to clean filters can result in sewage backup into the building or effluent breakout.This Permit to Discharge shall not be construed as permission to create or maintain any sewage nuisance. In the issuance of this Permit to Discharge,the North Central District Health Department assumes no responsibility for the future operation and maintenance of the system.Wastewater from water treatment systems cannot discharge to this septic system. Signs of system malfunction or failure must be reported to this office. Contact information is located above. Conditions: The septic system was installed and the installation final inspection was approved on 12/03110.The septic tank and outlet filter shall cleanec as often as necessary to prevent a buildup of sludge, grease and scum. It is recommended that the tank be inspected and pumped needed every two to three years depending on the use. The tank and filter cleaning must be done by a Connecticut licensed sewage pumper. The two buildings on the property are connected to a single septic tank located in the Town of Eilington,CT. The leaching trenches are located in the Town of South Windsor, CT. The variance for a central septic system approval was granted on 01/16/07 by the State o Connecticut Dept.of Public Health, Sewage Disposal Section. The septic system tank and leaching trenches were approved in both of the towns of Ellington, CT. and South Windsor, CT. by the respective Town's Health Dept. on 4/42007 per a plan prepared by Town Engineering,Inc.dated 1/15/2007,revised 3120/2007. The water sample test reports show that the well water is classified as safe for drinking at this time. The well water should be tested t monitor the water quality every three to five years by a Connecticut licensed laboratory. cc:South Windsor Health Dept. 12/3/2010 Eugene Orlowski, Sr. Register anitarian Final Ispection Date Inspected by Title ©Yes O No If yes, See Conditions Issued by L 10/5/2011 Page: 1 (D' or of al th or Registered Saalssuance Date North Central District Heal parlment ❑Enfield Main Street-P.O.Box 1222-Enfield,CT (860)745-OM Fax 746-3188 k€ ❑Vernon-�ord Turnpike,Room 120-Vernon-Rockvillee�T 06066_ 1 (860)872_1501 Fax 872153 > " ❑Windham-Town Hall-979 Main Street-Willimantic,CT 06226-(860)465-3033 Fax 465-3032 ❑Stafford-Town Hall,1 Main Street-Stafford Spring,CT 06076-(860)684-6609 Fax 684-1768 Initial Test Private Water Supply Summary Report 94 Wapping Wood Rd. Ellington Lot# Street# St Name Town Subdivision Jeffery Clark 94 Wapping Wood Rd. Ellington CT 06029 Owner Owner Address Town St Zip CT Builder Builder Address Town St Zip Water sample Analysis Reviewing Review Treatment Sample collection date Status Sanitarian Date Provided Collected 9/21/2011 Approved Eugene Orlowski, Sr. 1014/2011 ❑Yes ❑ 10 Pre-Treatme The water supply for the above private water supply system OO Meets Connecticut Public Health Code Requirements Further Testing not required. O Does Not meet Connecticut Public Health Code Requirements Please be advised that the water must be tested again for the parameters that fail to meet the Ct. Public Health Code Section 19-13-13101. When re-testing, the following options may be considered: continue to run the water and re-test, or install appropriate water treatment and re-test. ❑ Total Coliform Present ❑ pH not within 6.4-10.0 range Level: ❑ Nitrate level exceeds 10.0 mg/I. Level: ❑ Chloride exceed 250 mg/1 Level: ❑ Nitrite exceeds 1.0 mg/I Level: ❑ Odor exceeds 2 Level: ❑ Color exceeds 15 Value: ❑ Organic chemicals exceed limits ❑ Turbidity exceeds 5 Level: ❑ Incomplete analysis ❑Sulfates ❑Organic Chems ❑Other ❑ Other ❑ Incomplete Chain of custody El Sodium exceeds 28 mg/I Level: Comments-Permit to Discharge Notes See Well Water Analysis Dated 9/29/11 From Fallon Water Analysis, Inc.And The Phoenix Laboratory Report Dated 09/26/11. The Water Analysis Reports Show That The Well Water At This Time Is Classified Safe For Drinking.The Well Water Should Be Analyzed Every Three To Five Years By A Connecticut Licensed Laboratory To Monitor The Water Quality. IF Signature/Title �- October 4,2011 Eugene Orlowski, Sr. Date If Y&Wve any questions,please call the North Central District Health Department. 'age: 1 Date:10/5/2011 1 • �.�. � ,ray r�.�'�-�� i i - --- V t ' 1' _.._ . - - -------- s ------------ ....... - ---- - -- - t 1 i. l � I • i _----------- - Cc; -� _-- --_-- � a FOR INFORMATION PURPOSES ONLY NO GUARANTEE EXPRESSED ' OR IMPLIED IMTL a,r Accurate information you can rely on. Soil Gradation Repo G `� x/ <---� • GRADATION ASTM D-422;WET WASH ASTM D-1140 PROJECT: POWDER HILL SAND&GRAVEL—INFO. PROJECT NO.: 5655 CLIENT: POWDER HILL SAND&GRAVEL REPORT NO.: 100 LAB NO.: 27305 DATE: 09/23/10 USE: SEPTIC SAMPLED BY: CLIENT SPEC A:. CT D.O.P.H. SOURCE: ELLINGTON PIT GRADATION RESULTS SIEVE# %PASS SPEC.A 75 mm (3") 100.0 100 4.75 mm (#4) 100.0* 100* 2.0 mm (#10) 84.5* 70-100* 425 µnn (#40) 24.7* 10-50* 150 PM (#100) 4.3* 0-20" 75 (#200) 2.0*. 0-5* COMPLIED WITH: SPEC A:YES ...AS PER GRADATION ABOVE SOIL DESCRIPTION: RED/BROWN SAND;SOME GRAVEL TRACE FINES *PERCENTAGE OF SAMPLE LESS GRAVEL. 1.14 a a a r F CO ' ter:• � REMARKS: PERCENTAGE GRAVEL(-i#4)=182 a/a NO.10030 •��tt`ccZ,, ' '•�eCENiE�.'Nt1`�.` REVIEWED RV- pc.- Powder Hill S Gravel J•'""''�� tan xa ' J f Independent Materials Testing Laboratories,Inc. T 860.747.1000 miil@umlet com Teat repom mynot berepinduced except in fall with 57 N.Washington St,P.O.Box 745,Plainville,CT 06062 F 860.747.6455 www.imdct.com 'ppeOYal of DATL etl muka v&w to the item tom• Teat eeporta must not be uud by dicat m cla(m pmdua eorlm.emrnsbyNVlAParmgo�aeyafshelJSGovcn , North Central District Healthapartment ❑` Enfield-3 th Main Street-P.O.Box 1222-Enfleld,CT 06Q 860)745-0383 Fax 745-3188 ' ❑Vernon-3 r-&Aatford Turnpike,Room 120-Vernon-Rockville,Cti-AO66-(860)872-1501 Fax 872-1531 ❑Windham-Town Hall-979 Main Street-Willimantic,CT 06226-(860)465-3033 Fax 465-3032 ❑Stafford-Town Hail,t Main Street-Stafford Spring,CT 06076-(860)684-5609 Fax 684-1768 Permit to Construct A Subsurface Sewage Disposal System ELL-5� �> October 27, 2010 October 27, 2011 Permit# Date Issued Expires 94 Wapping Wood Rd. Ellington Lot# Street# St Name Town Subdivision Rand Wells 03579 860-213-1992 Licensed Installer License# Installer Telephone Jeffery Clark 94 Wapping Wood Rd. Ellington CT 06029 860-875-8897 Owner Address City ST Zip Phone Engineer Address City ST Zip . Phone ❑ Septic System New (New Lot) ❑B-100a ❑Subdivision ❑Tank Only Z Septic System Repair ❑Other ❑ Existing System ❑Well Only Specific Conditions: ❑ Engineer Design ❑ Field Staking By Installer(Repair Only) ®Installer Must Schedule Inspections ❑ Percolation Test in Fill ❑ Field Staking of Well by Well Driller ®Final Inspection Required El Engineer As Built Required ❑ Select Fill Required ❑Well Permit Required Foundation As Built Required ❑ Curtain Drain ®As Below As Built Installer ❑ Engineer Supervision ❑ Field Staking by Engineer ® Licensed Installer Must Obtain Permit Perk Tests in Fill by Engipeer O Required Variances Granted 0 Yes /f Yes,see notes! O Not Re uired O N2 A Permit to Construct: Plan Designed by Towne Engineering, Inc. Plan Dated January 15,2007 Number of Bedrooms 4 Leaching System Type 12" High Leaching Galleries and a Septic Tank Size 1600 Square Feet 996.8 Linear Feet 2 trenches 112'long Notes: The two buildings are connected to a single septic tank in the town of Ellington Ct. the septic system leaching trenches are in the Town of South Windsor, Ct. The central system approval was granted on 04/16/07 by Sean Merrigan of the State of Connecticut Dept. of Public Health, Sewage Disposal Section. The septic system tank and leaching trenches are approved by both of the towns South Windsor Ct. and Ellington Ct. PERMIT#ELL-4744 Approving Sanitarizz6e P Approval Date April 4,2007 g ne Or owski, Sr. 1!! Page 1 90+8 / / 9p. W B / > Q z ccLL U ' u- I ,z o i : v ro BROWNSTONE W/DRILL HOLE ,N , 873t0Qx9.27. 1 i a — :. a4 � x MAY -4 2010 : - ic 011!�,EENGINEERING, INC. t - CIVIL ENGINEERS AND LAND SURVEYORS .0 ROUTE 32 AND RICHMOND ITANE, SOUTH WINDHAM CT TEL. (860) 423-6371/889.-2100. FAX 423-5470 SEPTIC SYSTEM DESIGN . PREPARED MR JEFFREY CLARK 194 WAPPING WOOD ROAD (CT RTE. . 74) ELLTNGTON/SOVTH #MWOA CONNECTICVT �uv3 RE r ❑ I • a W� a U AMSPK SET =18 R. :OAK ELEV,=93.2Lr- 0: /. w Q ' 4 �. 0, o Lu 00 - BROWNSTONE W/pRILL H-OLE - 7 g4 ' I '. . v EC E - � 1 MAY -4 2010 VfiRq TO E�GI��ERININC CIVIL ENGINEERS AND LAND SURVEYORS .. ROUTE 32 AND RICH MOND LANE,' SOUTH WINDHAM CT TEL- (Z 60) 423-6371/889. 2100 FAX 423- 5470 4 ;. SEPTl ` SYST.EM DESIGN - PREPARED 1�'1R JEFFREY CzARK J94 >IfWAPPING FOOD ROAD (CT RTR . 74) AZLINGT0N/S0UTH TVI WOW CONNECTICUT BOOK N0. DRAWN SHEET NO. DATE . p . 364. EJ/RAC 2 OF 3 80 1 15 '07 DISC NO, DESIGNED 23 0 sr s 148(6) MD M JOB' N0. SCALE CAD DWG. CHECKED 0Q-112 1»=20. 00-112MR DRA r�fw 96.2 l .:..1 i t •,. i 95:6 zt ' 97+3 TP F / DRAIN TP E 96.4 CIEAN- PMPOM 79 LF. 800 SDR 95 / >, PVC �®94.5 GTD ,rF•96.0 i/e" PER FT. G TP. H / 94.4 T ' zr�(u1Yia T _ A . / ��9g.8 •1 0 g + P-G G� 92°6 a3.2D—BOX �w ,���. „ . -1- 1 A 1 5 BOX '913 or TP- Al , !4 PERC #2 y` 92. 00 00 90 9 00 slim IT a 80. i IJ�M.SPK SET rawer......... . SHALT BE BWAT-19D TO PROVIDE 1 FT. MM. COVER op}t / PROPOSED / 45 LF. . PROPOSED PROPOSED f / v 8' 3DR 36' 70 LF. 75 LF .-�1J 8'9 SCH-40 8'0 SDR 35 / 1/8'PER Fr, PVC • PVC 0 1/87 PER FT. 1/8' PER FT ` PROP 99+o PROP. i 1 � •r, cZ y CLEAN— OUT o . FL-98.3T . :84' / 97+3 y1 98.3 ` /\ pp /' TP E 96.4 oUT 98. 8.5+ FL=94.86' � �� / PRO 736.0 L, 1 ,� �• �/ '>. �� PVC a ! RE BAR 97.3 ; FOUND 00 N: 873,424.38 $ y CO ;` a� 1 E: 1.,064.894.76 9 ///// 873,461.59 064,884. 1 PROPOSED PROP: , 82 CLEAN: 100 LF., 6"� OUT 1 SDR 35 PVC AT 1% SIJOPE FL-90.4 �� viz, 1 �.y95.1 Al ilz =1 1 PROPOSED � r4 C! TP-A �+ ly SDR 35 PVC g51 92. AT 1% SLOPE ` / o b s mom OWN 1 trl 1 - i / A:... g:/. j', North Central District Health Department El Enfie' 1 North Main Street-P.O.Box 1222-Enfield,C 83-(860)74"383 Fax 745-3188 ❑Verne.. 75 Hatford Turnpike,Room 120-Vemon-RockviNIIIIIICT 06066-(860)872-1601 Fax 872-1531 ❑Windham-Town Hall-979 Main Street-Willimantic,CT 06226-(860)465-3033 Fax 465-3032 ❑Stafford-Town Hall,1 Main Street-Stafford Spring,CT 06076-(860)684-5609 Fax 684-1768 Plan Approval For Subsurface Sewage Disposal System 94 Wapping Wood Rd. Ellington Lot# Street# Street Name . Town Subdivision Jeffery Clark 94 Wapping Wood Rd. Ellington Ct. 06029 Owner Owner Address Town State Zip Builder Builder Address Engineer Engineer Address Town State Zip This Approval Indicates That The Proposal Has Been Reviewed By The Health Department And Is In Compliance With Applicable Regulations As Contained In The Public Health Code For This Project. Plan Date: January 15, 2007 Aooroval Date: April 4, 2007 Last Revision Date: March 20, 2007 Bedrooms or GPD: 4 Distribution: Serial Water Supply: Well 0.1 to 20 Minjin. 102' 1500 1 12"High Leaching Galleries and a 1 996.8 2 trenches 1" No Design Rate MLSS Tank Size Septic System Type Sq Ft. Leaching SS Bottom Pumps Septic System system Length This is Na A PERMIT TO CONSTRUCT a Subsurface Sewage Disposal System. The permit to construct will be issued to the licensed septic system installer prior to actual construction. This plan approval is subject to specific and general conditions as shown on both sides of this form.Please read them carefully. S ecific Conditions: ❑ Engineer Design ❑ Field Staking by Engineer ®Licensed Installer Must Obtain Permit ❑ Percolation Test in Fill ❑Field Staking By Installer(Repair Only) ®Installer Must Schedule Inspections ❑ Engineer As Built Required ❑Select Fill Required ®Final Inspection Required ® Foundation As Built Required ❑Curtain Drain ❑Well Permit Required ®As Built Installer ❑ Engineer Supervision ®As Below (3)Perk Tests in Fill by Engineer 10 Required ❑Not Re uired The two buildings are connected to a single septic tank in the town of Ellington Ct. the septic system leaching trenches are in the Town of South Windsor, Ct. The central system approval was granted on 04/16/07 by Sean Menigan of the State of Connecticut dept. of Public Health, Sewage Disposal Section. The septic system tank and leaching trenches are approved by both of the towns South Windsor Ct.and Ellington Ct. Approved by: _ Sanitarian Page 1 WATER SEOCE NOTE: : :'E- WELL WILL REMAIN IN USE FOR THE THE ON—SI PROPOSED IMPROVEMENTS SHOWN ON. THIS PLAN. . PUBLIC WATER IS AVAILABLE IF THE HOMEOWNER- WOULD EVER NEED TO CONNECT TO IT. SEPTIC SYSTEM NOTE: AN ENGINEERS AS—BUILT PLAN OF THE LEACHING TRENCHES WILL BE REQUIRED FOLLOWING INSTALLATION AND PRIOR TO ISSUANCE. OF A PERMIT TO DISCHARGE WELL GRADING NOTE: THE DRIVEWAY MUST PITCH AWAY FROM THE WELL HEAD AS ILLUSTRATED ON THESE PLANS 3/a" REBAR FOUND N: 873,424.38 E: 1,064,894..76 r� N . CENTRAL DISTRICT HEALTH DEPT. e� 9 ® u ;2 t APPfii VED 0 NOT APPROVED � � is-- ;✓':✓ ¢'t a a�'61 OBERT J. & .� EL No : BERNIER TOTAL COMBINED AREA 218, 100 S.F.f =5.00 Ac.f m TOWNEENGINEERING, INC. CIVIL ENGINEERS AND LAND SURVEYORS ROUTE 32 AND RICHMOND LANE, SOUTH WINDHAM CT TEL (860) 423-6371/889-2100 FAX 423-5470 SEPTIC S'YS'TEM DESIGN PREPARED MR JEFFREY CLARK #94 jmpr NG IIoOD ROAD (CT RTE. 74) oa.R ELLING?bN/SOUTH 1PWDS01� CONNECTWVT Xe'�Q DATE REVISIO S . BOOK N0. DRAWN. SHEET N:0 ,2 P 7 A,. .n............ M ! , x � ..: .;!';:...;�r.i•.:i:: ., .i"7:':•. .wRl .'''in+•�.i...m�.E'�••:C�.t;u�:i.!il! STATIE OF CONNECTICUT DEP xMENT OF PUBLIC HEALTH N DTICE OLVXCEPTION An exception is fiereby granted to t1h e requirements of Section 19-13-B 103d(d)of the Connecticut Public Health Code for a CENTRAL SUBSURFACE SEWAGE DISPOSAL SYSTEM serval A RESIDE HOUSE AND A DETACHED BARN located at 94 WAPMG WOOD OAD in the Town of ELLWGTON,CT. A central system has been found to be technically pre arable for the following reasons: : 1. THE SEWA10E DISPOSAL SY TEM IS SATISFACTORILY SIZED TO HANDLE THE SEWAGE FIAWS FROM THE RESIDENTIAL DOUSE AND DETACHED BARN. ! 2. THE CENTRAL SYSTEM WIL PROVIDE AN DOROVED DISTRIBUTION OF EFFLUENT. 3. WASTEWAfER THAT IS NO "SEWAGE"AS DEFINED IN PHC SECTION 19-13- B 103b(a)SKILL NOT BE DISCHARGED TO THE SEWAGE DISPOSAL SYSTEM.THE INSTALLATON SHALL BE IX 3PECTED AND APPROVED BY TkIE LOCAL HEALTH 119PART1 LggT. 4. THE INSTALLATION SMALL RE INSPECTED AND APPROVED BY TBE LOCAL ' i HEALTH DE�ARTNMNT(S). Recorded at the Connecticut Departo ent of Public Health,Hartford,Connecticut. ATE Mete Sanitary§Weer III Eavirondental Engineering Program Cc: Bob Deptula,:Pug.-South Win or Health Department Phone: 60)509 7296 lelepb4 nc DrAce for the Ded(86q WWA 410 Capitol Avenw•MS# P. .Box 340308 Hartford.CT 06134 Apmath,$Action lAn Bqua!Oppo?*ntty Finptoyor !n•a C'K't l l Inn? 07 JdV North Central District Health Drtment ❑Enfield-31 North Main Street-P.O.Box 1222-Enfield,'CT 06083-(860)745-0383 Fax 745-3188 ❑Vernon-376 Hatford Turnpike,Room 120-Vernon-Rockville,CT 06066-(860)872-1501 Fax 872-1631 f' ❑Windham-Town Hall-979 Main Street-Willimantic,CT 06226-(860)465-3033 Fax 465-3032 ❑Stafford-Town Hall,1 Main Street-Stafford Spring,CT 06076-(860)684-5609 Fax 684-1768 Plan Approval For Building Additions, Conversions, Changes of Use, or Accessory Structures 94 Wappingwood Road Ellington Street# Street Name Town Jeffery Clark 94 Wappingwood Road Ellington CT 06029 Owner Owner Address Town ST Zip This approval indicates that the proposal has been reviewed by the Health Department and is in compliance with applicable regulations as contained in the Public Health Code for this project. Permission granted, on 6/12/2010 to construct a 28' x 80' with the CONDITIONS NOTED BELOW and as shown in plan received 61412010. The proposal to demolish the existing dwelling and build a new single family, three bedroom residence is approved on 05/12/10 as shown on the plan date stamped Received Vernon Office 05/04/10. The plan job no. 00-112, with the revision date of 04/23/10. There will be no change to the septic system design that was approved on 03/30/07 by the North Central District Health Department for the Town of Ellington and the South Windsor Health Department. The septic tank and building structures are in . Ellington while the leaching trenches are in the Town of South Windsor. cc: South Windsor Health Dept. NOTE: 08/04/10 The proposed toilet room inside the barn shown connecting into the proposed.new septic tank which is shown on the approved plan dated on 05/12/10 will need approval from the State of Connecticut, Department of Public Health, Subsurface Sewage Disposal Section. The proposed toilet room will include a toilet and a hand sink only. GO. Please Note that the above approval indicates compliance with Connecticut Public Health Requirements. Any other permits required from Zoning, Inland Wetlands or Building Officials are not ensured by this approval. Ap ed by: Je�gene Orlowski Sr. itarian North Central District HealtApartment ❑Enfield-31 North Main Street-P.O.Box 1222-Enfield,CT 06083-(860)74"383 Fax 745-3188 ❑Vernon-376 Hatford Turnpike,Room 120-Vernon-Rockville,CT 06066-(860)872-1501 Fax 872-1531 ❑Windham-Town Hall-979 Main Street-Willimantic,CT 06226-(860)465-3033 Fax 466-3032 ❑Stafford-Town Hall,1 Main Street-Stafford Spring,CT 06076-(860)684-5609 Fax 6844768 :Plan Approval For Building Additions, Use Changes, Swimming Pools 94 Wapping Wood Road Ellington Street# Street Name Town Jeffrey & Valerie Clark 945 Wapping Wood Road Ellington CT 06029 Owner Owner Address Town ST Zip This approval indicates that the proposal has been reviewed by the Health Department and is in compliance with applicable regulations as contained in the Public Health Code for this project. Permission granted, on 3/30/2007 to construct a 24'x 40' & 52'x 12' Barn expansion and Root Cellar 12'x 17.4' as shown in plan dated 312312007. The proposed 1,924 sq. ft.barn/garage expansion including a root cellar is approved on 03/30/07 as shown on the plan dated 03/23/07. All of the minimum separating distances to the well and the septic system have been met. The septic system repair area is located over the South Windsor town line. The proposed septic system repair plan is approved by the South Windsor Health Department. One of two approvals for the house and bam expansions. Please Note that the above approval indicates compliance with Connecticut Public Health Requirements. Any other permits required from Zoning, Inland Wetlands or Building Officials are not ensured by this approval. ApOir ved by: a � u ene Orlowski Sr. Sanitarian North Central District Health0partment ❑Enfield-31 North Main Street-P.O.Box 1222-Enfield,CT 06083-(860)745-0383 Fax 7454188 ❑Vernon-375 Hatford Turnpike,Room 120-Vemon-Rockville,CT 06066-(860)872-1501 Fax 872-1531 ❑Windham-Town Hall-979 Main Street-Willimantic,CT 06226-(860)465-3033 Fax 466-3032 ❑Stafford-Town Hall,1 Main Street-Stafford Spring,CT 06076-(860)684-5609 Fax 684-1768 Plan Approval For Building Additions, Use Changes, Swimming Pools 94 Wapping Wood Road Ellington Street# Street Name Town Jeffrey & Valerie Clark 94 Wapping Wood Road Ellington CT 06029 Owner Owner Address Town ST Zip This approval indicates that the proposal has been reviewed by the Health Department and is in compliance with applicable regulations as contained in the Public Health Code for this project. Permission granted, on 3/30/2007 to construct a 24'x 28' &40'x 44' Garage & Dwelling Expansion as shown In plan dated 312312007. The proposed 2,676 sq.ft. foot print of the garage and existing dwelling expansion is approved on 03/30/07 as shown on the plan dated 03/23107. `All of the minimum separating distances to the well and the septic system have been met. The septic system repair area is located over the South Windsor town line. The proposed septic system repair plan is approved by the South Windsor Health Department. One of two approvals for the house and barn expansions. Please Note that the above. approval indicates compliance with Connecticut Public Health Requirements. Any other permits required from Zoning, Inland Wetlands or Building Officials are not ensured by this approval. p oved by: u one Orlowski Sr. unitarian 02404/2006 06:41 8606426364 KAHN TRACTOR• PAGE 01/03 a NORTH CENTRAL DISTRICT HEALTH DEPARTMENT P. O. BOX 1222, ENFIELD, CONNECTICUT 06083 AS-BUILT PLAN Permit No. �/� Town ecJ_1�.11�_ Location1� Date House No. or L18t Md. and Street New Septic System Repair of Existing System Draft a substantially correct scale drawing with property boundaries,showing separation distances of septic system installation; at least two sides of building nearest system; septic tanks, distribution boxes;trenches;dry wells, beds; galleries; potable water supply wells; and, other features affecting system and its location. Show leaching system, septic tank, pump chamber and curtain drains, as needed. Show NORTH with arrow. Show road, driveway, etc. ' "� Gam � A � . . �� Point #1 #2 #3 #4 #5 #6 #7 #8 #9 #10 Distance from Corner"A° 47,q 49.,8" 'j'a /$e6f� Distance from Corner"B" Distance from "C" Distance from "D° Revised 12/98 02/04/2006 06:41 8606426364 KAHN TRACTOR PAGE 02/03 NORTH CENTRAL DISTRICT HEALTH DEPARTMENT P. O. 13OX 1222, ENFIELD, CONNECTICUT 06083 AS-BUILT PLAN Permit Town •mil �i �—Jc� Locati on i�ri Wo °r Date /d ouse No. o L No. and Street XG _New Septic System Repair of Exisfing System Draft substantially correct scale drawing with property boundaries,showing separation distances of septicsystem install lion; at least two sides of building nearest system; septic tanks, distribution boxes;trenches; dry wells; beds; galleries; potable water supply wells; and, other features affecting system and its location. ShDw leaching system, septic tank, pump chamber and curtain drains, as needed. Show NORTH with arrow. Show road, driveway, etc. C1��w Go � IV h �f o N d dear s a R Point #1 #2 #3 #4 #5 #6 #7 #8 #9 #10 Distance from Comer"A" Distance from Corner"B" Distance from "C" Distance from "D" Revised 12198 ao dOjn _N 02/04/2006 06:41 86064 64 KAHN TRACTOR PAGE 03/03 A AS-BUILT PLAN G- Page 2 Address Latest Revision Date: Number of Bedrooms: 1. Required square footage for leach field on approved plan 2. Actual square footage of installed leaching area 3. Actual linear feet of trench or system installed + ? G,e5 4. Type of septic system installed(i.e.,4 X 1'trench,dry wells,etc.) ! ! C7�► � 5. Capacity of installed septic tank is MW gallons. Pump Chamber Yes No 6. Does the septic tank have an outletfrlter? Y es 7. Minimum distance between building foundation and septic tank- feet. 8. Minimum distance between building foundation and edge of leaching system- feet. 9. Is building connected to a public water supply? J—/O 10. Minimum distance between sewage disposal system and nearestwell feet. 11. Minimum distance between edge of leaching system and property borders- P?u feet. 12. Were distribution boxes set level or overflow? 0 y AC-1) 13_ Was leaching system surrounded with required amount of stone? 14. What type of pipe was used from building foundation to septic tank? 3c V0 go 15. Was leach field covered with filter fabric? V,00 c 16. What type of solid pipe was used after the septic tank? Sc� 3 ' 17. Was there any deviation from the original planned system? 416 _ If yes, explain on a separafe sheet. The undersigned installer hereby certifies this private subsurface sewage disposal system conforms to all applicable state and local codes and ordinances and the information supplied is substantially correct. Signed: -o?t Lic. No.: Q0359 Dat Zd l--Jl Inspected by: Date Name of Property Owner: C1 Revised 7/99 5 3 o f-3 r7"�TOWNEEISTRNEER G, INC. DONALD R.AUBREY,P.E.,,L.S. PROFESSIONAL ENGINEERS•LAND SURVEYORS•EXPERT WITNESS JOSEPH H.BOUCHER,Ms.,L.S. MAIL:P.O.BOX 162 SOUTH WINDHAM,CT 06266 OFFICE:1 RICHMOND LANE,WILLIMANTIC,CT06228 MATTHEW D.MAYNARD,E.I.T. a (860)423-6371 •(860)889-2100•Fax(860)423-5470 September 19,2011 Eugene Orlowski,RS North Central District Health Department 375 Hartford Turnpike,Room 120 Vernon,CT 06066 Re: Clark 94 Wappingwood Road,Ellington TEI Job#00-112 Dear Gene, Jeff Clark called on Friday regarding his Permit to Discharge for his new home at 94 ' Wappingwood Road in Ellington and:indicated that you needed a copy of the"foundation only,,as-built plan. We located the foundation(footings)on September 16,2010 and at that time the Town of Ellington did.not require that we prepare a formal as-built plan but they accepted a letter,a copy of which is enclosed. We did however plot the location of the footings that we located into-the design plan. I have enclosed a copy of the line wo&plotted on an V2 8 "by I I"sheet in color that shows in green the originally proposed and-approved,house;in red a smaller foot print that was proposed to=be constructed when-construction actually began;and finally in cyan the outside ceraers of the footing as were located on September 16,2010. 1 have also enclosed a-copy of sheet l of`3`ofth�approved design for your further reference. At this time this is the best information thats available,and we trust it is sufficient for your purposes. We intend to go back to the site in the next couple of weeks and prepare the-final as-built plans as are required by the_Zoning Department in.Ellington. Once that plan is available we will.send you.a copy 4that for your records as well. Please.feel free:to call me at anytime if you have any`questions. , Respectfully 'tted, os p H.Bo: S.,L.S. For:Towne Engineering,>Inc. cc:Jeff Clark{without enclosures) _ j • y TOWNEENRNEEPUNG, INC., DONALD R.AUBREY,P.E.,,L.S. PROFESSIONAL ENGINEERS•LAND.SURVEYORS EXPERT WrrNESS JOSEPH H.BOUCHER,M.S.,L.S. MAIL:P.O.BOX 162 SOUTH WINDHAM;CT_062.66 OFFICE:1 RICHMOND LANE,WIWMANTIC,CT06226 MATTHEW D.MAYNARD,E.I.T. (860)423-6371 •(860)889-2100•Fax 1860)423-5470' September 17, 2010 John D. Colonese,ZEO Town of Ellington P.O. Box 187 Ellington, CT 06029 Re:Jeff Clark,94 Wapping Wood Road;Proposed house foundation TEl Job No.#00-112 Dear Mr. Colonese, On Thursday September 16, 20101 field located the-formed concrete foundation footing for the above referenced project. Based on our survey measurements the formed footing for the new home conforms very closely in horizontal location to the approved site plan entitled "Septic System Design Prepared for Jeffrey Clark,#94 Wapping Wood Road, Ellington/South Windsor,Connecticut, Date: 1/15107, Revised through:4/23/10' The formed footing is 145 feet off the front(northerly) property line, 66-feet from the easterly-(side) property line, and 75 feet.from the westerly(side) property line. Based on the formed footing heated the approximate top of wall will be 104.0 feet(1.65 feet higher than-proposed),-this-is-based on the benchmark spike found in'SNET #1872 which is westerly of the proposed foundation. In conclusion the footing location and-elevation meets.and in terms of the top of wail elevation exceedsthe approved site plan for-this protect If you#iave`any other questions, comments,or need any additional information-please feel free-to-contact me directly at 860-423-6371. Respe,49,HY Submitted, CZEf:. •t9�rieralri�r _ Tor:Tow a Igineering,Inc. cc:Jeff Clark, Homeowner f�� � a LocA-Ifon :fr