HomeMy WebLinkAboutSeptic Repair 564 Main Street r- Town of South Windsor — Health Department
-
1540 Sullivan Avenue, South Windsor, CT 06074
Phone: 860-644-2511 ext. 248 Fax: 860-644-7280
SITE INVESTIGATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Application/Permit#:
Property Owner " 7A A-Q Location 1goK
DEEP TEST PIT DATA/SOIL DESCRIPTIONS
DATE: 2, jzd it, (Record all Test Pits)
TEST PIT: `�, TEST PIT: TEST PIT: TEST PIT:
0--1'],"
12,-2`\"4a\-V Lex.rw,
M— S`1" k �cz
w�oEka.�l V�
Mottles: aE°I Mottles: Mottles: Mottles:
GW: a GW: GW: GW:
Ledge: Pilo Ledge: Ledge: Ledge:
Roots: " a V Roots: Roots: Roots:
Restrictive: Restrictive: Restrictive: Restrictive:
COMMENTS: `
e
GROUNDWATER TABLE(Near max.,below max.,etc.):
SOIL MOISTURE(High,medium,low,etc.):
PERCOLATION TEST DATA
DATE: (Record all Perc Tests)
PERC: PERC: PERC: PERC:
DEPTH: DEPTH: DEPTH: DEPTH:
PRESOAK: PRESOAK: PRESOAK: PRESOAK:
TIME READING TIME READING TIME READING TIME READING
PERC PERC PERC PERC
RATE: RATE: RATE: RATE:
COMMENTS:
SITE INVESTIGATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
LOCATION DRAWING INCLUDING ALL TEST PITS AND PERCOLATION HOLES
SPECIAL CONDITIONS CONCLUSIONS
Design Flow>2000 GPD Suitable for Sewage Disposal
Public Water Supply Watershed Unsuitable for Sewage Disposal
Probable High Groundwater Additional Investigation Req'd
Slope>25 percent Wet Season Monitoring Req'd
Perc Rate< 1 min/inch Retest During Wet Season
Perc Rate>30 min/inch Licensed Engineer Plan Req'd
Ledge<5 feet below grade Other:
Limited Suitable Area
Open Watercourse or Wetlands
Flood Plain/Seasonal Flooding
Max.G.W. <36 inches below grade
DESIGN RECOMMENDATIONS/COMMENTS
Form completed by:
(Certified Local Health Agent or P.E.)
Accuracy assured by(If P.E.completed form):
(Certified Local Health Agent)
Others present for site investigation(Engineer,developer,installer etc.):
Town of South Windsor — Health Department
1540 Sullivan Avenue, South Windsor, CT 06074
Phone: 860-644-2611 ext. 248 Fax: 860-644-7280
Subsurface Sewage Disposal System Final Inspection Report
Property Owner: Y)Z6 ,`3 �,� Appl/Permit#
Property Address: Soy Town: 45� ,Uj .'-
Licensed Installer: License#:
Appro ed Plan Information
Check one: New System ❑ Repair/Replacement System &K
Residential Building: bedrooms Large Tub: YES NO Garbage Disposal: YES
Non residential Building/Residential Institution: GPD
Plan Prepared by: ����\ ,�, �� Title: E1r)O", o c-
Plan Approved by: Date:
Approval to Construct
Date Permit Issued: ]��1�2 Permit Issued by: Q\O¢�
Registered Sanitaria&r Director of Health
Inspection Information
Licensed Installer
Type Date Present? e o Comments
Field Stake Inspection(house,
well,property lines,system etc.)
Stri /Scarification
Sieve required(Ye o
Select Fill Placement 1V N
Other:
Final Inspection
Was 24 Hour(min)Installer Notice Given(Y/N):_ Date Final Inspection Requested: IRS
Date of As-Built
Final Inspection Com leted by: Approval:
Permit to Discharge Issued by: �w��, Date: 1�L-
(Registered Sanitarian or irector of Health)
Subsurface Sewage Disposal System Final Inspection Report
House Sewer Information
Pipe Type and ASTM Specification: Pipe Size: in.
Pipe Invert Elevations at: Pipe Length: ft.
Foundation Wall: Pitch Required:
Septic Tank: Pitch Provided:
Tank Information
Septic Tank Size: Gallons Tank Inlet Elevation:
Tank Manufacturer: Tank Outlet Elevation:
Date Manufactured: Riser Needed(Y/N):
Outlet Filter Type/Manufacturer:
Pump Chamber
Size: Gallons Pump Alarm Checked(Y/N):
Pump Chamber
Manufacturer: Float Control Elevation Verified(Y/N):
Grease Interceptor Grease Interceptor Tank
Tank Size: Gallons Manufacturer:
Leaching System Information
Approved Aggregate: Free of silt dirt and debris(Y/N): Sieve Required(Y/N):
Filter Fabric Present(Y/N): Type: Aggregate Meets PHC Specifications(Y/N):
Select Fill(Y/N): Meets PHC Specifications(Y/N): Sieve Information on File(Y/N):
Leaching System Description(product,size,length,number of rows,level or serial etc.):
Effective Leaching Area Required: sq.ft. Reserve Area Provided(N/A,Y/N):
Effective Leaching Area Provided: sq.ft. Center to Center Spacing: ft.
System Installed Per Approved Plan Elevations(Y/N): Elevations Field Verified(Y/N):
Elevation notes:
Separation Distances
Separation Distances Conform with Approved Plan(Y/N):
Separation Distances Field Verified(Y/N):
' Town of South Windsor — Health Department
1540 Sullivan Avenue, South Windsor, CT 06074
Phone: 860-644-2511 ext. 248 Fax: 860-644-7280
SITE INVESTIGATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Application/Permit#:
Property Owner �1�� ����&. Location
DEEP TEST PIT DATA/SOIL DESCRIPTIONS
DATE: *rAk-L— (Record all Test Pits)
TEST PIT: TEST PIT: TEST PIT: TEST PIT:
0 ,,ti' "Tq�5ci1
<3y _10//
Mottles: " Mottles: Mottles: Mottles:
GW: fag GW: GW: GW:
Ledge: edge: Ledge: Ledge:
Roots: ° Roots: Roots: Roots:
Restrictive: ?j �' Restrictive: Restrictive: Restrictive:
COMMENTS: &=Qn:C- iax&-r'=.Xn-. wee
GROUNDWATER TABLE(Near max.,below max.,etc.): Uka'-Q pnax c
SOIL MOISTURE(High,medium,low,etc.): dAiv.r.
PERCOLATION TEST DATA
DATE: Z (Record all Perc Tests)
PERC: PERC: PERC: PERC:
DEPTH: DEPTH: 9-0 DEPTH: DEPTH:
PRESOAK: eb PRESOAK: 1-t-- PRESOAK: PRESOAK:
TIME READING TIME READING TIME READING TIME READING
a t3 2.Zs Z is
2.2 3 4,7S 2. 2S
2 33 a� 7-•3s 9
2'4 3 7, 2 �,5 H - 25
2 = 53 S. a: 5157 13
PERC PERC PERC PERC
RATE: ,O M:" % RATE: 7 "rv.ti RATE: RATE:
COMMENTS:
SITE INVESTIGATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
LOCATION DRAWING INCLUDING ALL TEST PITS AND PERCOLATION HOLES
I ti�
SPECIAL CONDITIONS CONCLUSIONS
Design Flow>2000 GPD Suitable for Sewage Disposal
Public Water Supply Watershed Unsuitable for Sewage Disposal
Probable High Groundwater Additional Investigation Req'd
Slope>25 percent Wet Season Monitoring Req'd
Perc Rate< 1 min/inch Retest During Wet Season
Perc Rate>30 min/inch Licensed Engineer Plan Req'd
Ledge<5 feet below grade Other:
Limited Suitable Area
Open Watercourse or Wetlands
Flood Plain/Seasonal Flooding
Max. G.W. <36 inches below grade oc
DESIGN RECOMMENDATIONS/COMMENTS
Form completed by:
(Certified ocal Health Agent or P.E.)
Accuracy assured by(If P.E. complete orm): QJI t"
(Certified Local Health Agent)
Others present for site investigation(Engineer,developer,installer etc.):
�. cc i
Town of South Windsor — Health Department
. 1540 Sullivan Avenue, South Windsor, CT 06074-2786
Phone: 860-644-2511 ext. 248 Fax: 860-644-7280
DESIGN RECOMMENDATIONS FOR REPAIR OF SEWAGE DISPOSAL SYSTEM
PROPERTY OWNER(S): Roland Houle
STREET ADDRESS: 564 Main Street, South Windsor
RESIDENTIAL(#of Bedrooms): 5
SEPTIC TANK: Install 1,500 gallon two-compartment septic tank with approved outlet filter.
LEACHING SYSTEM: 742.5 square feet of effective leaching area required.
Maximum Depth into original grade is not to exceed thirteen(13) inches.
Minimum Leaching System Spread(MLSS) is to be addressed and calculations to be included on plan.
SPECIFIC INSTRUCTIONS:
1. Construction plot plan(drawn to scale)to be submitted and approved by this office prior to issuance of
permit to construct.
2. Plot plan must indicate location of proposed structure,water supply, septic system, embankments,
watercourses, property lines, and existing and proposed finished grades. Benchmark to be set and indicated
on plan.
3. Indicate on plan that existing Septic Systems(front and back yard) are to be properly abandoned.
SIGNATURE: DATE: � 1Z
r.
Town of South Windsor - Health Department
a, �G
1640 Sullivan Avenue, South Windsor, CT 06074
�a = Phone: 860-644-2611 ext. 248 Fax: 860-644-7280
PERMIT TO DISCHARGE
Approval is hereby given to !&Aw A , 7) npA t_ ,in accordance with Public
(Property Owner)
Health Code Section 19-13-B103e(h)to discharge to a subsurface sewage disposal system located at
5(0'A r ayc
(Street Address)
-in the town of W kAsz r ,CT that will receive domestic sewage from a:
Residential building containing bedrooms. Single family(Y/N): �L.
Restaurant containing seats.
Commercial/Office building providing square feet.
Other structure as described:
Design Flow= 5W gallons per day. Permitted Flow= 900 gallons per day.
The design flow shall equal the permitted flow,except for non-compliant repairs(See Section IV D).
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 gallons per day.
Operation and Maintenance: Septic tank shall be inspected regularly and pumped as needed but not
less frequently than every five years. The septic tank has an effluent filter(Y/N) Y . Effluent filters
require periodic cleaning. Failure to clean filters can result in sewage backup into the building or effluent
breakout. Restaurants serviced by external grease interceptor tank(s)require quarterly inspections and
cleaning as necessary. Tank pump-outs tracked by local health department(Y/N) If yes,
stipulate pump-out requirements:
Special Requirements and Restrictions: 1.In the future,if there is a septic system malfunction or
failure it must be addressed.
Exceptions(Repairs Only):
File Information: Construction Permit No. Approved as-built on file(Y/N)
Date of Final Inspection: Inspected By:
Permit Issuance: Issued by: J�6 V %�J %k&,- Title:
(Director of Health or Reg$tered Sanitarian)
Signature: 4��, Date:
Town of South Windsor — Health Department
1546 Sullivan Avenue, South Windsor,CT 06074-2786
Phone: 860-644-2511 ext.248 Fax: 860-644-7280
APPLICATION FOR APPROVAL TO CONSTRUCT A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Application/Permit#:
To the Director of Health,Town of:-SO f &,Y1V b s,aA- Date: 3- a
Application is hereby made for an approval to construct a subsurface sewage disposal system for a:
(Residential Building,Restaurant,Retail Building,etc.)
located at: `�q ��� �� S 06V2l f�'I&IC9/Z
(Street Address,Lot Number,Subdivision Name,Map,Block,Lot,etc.)
New System _Addition Repair Other
Owner/?4$44/GD /.I=aG6W Addres&!TZX,&?47ti S-7� Tel.No.
Installer T2)riff, El Address ol 60:0— 19,1�'S Tel.NcA&� 60�
s'd a7j- GcJ//&b fUK._
Installer License No. l��3 0 96L C 7-
In accordance with detailed information stated below:
Application fee paid_ 1�� COLb\--, Signed (�209��
(Owner or duly authori representative)
-------------------------------------------------------------------------------------------------------------------------------------
GENERAL INFORMATION
Soil Tests Conducted(Date): 'L Lot size (o3TCJ--7 sq.ft.
Area of Special Concern(Y/N):_ If yes,Reason(s):
Basis of Design(#of Bedrooms,Restaurant Seats,Building Size,etc.): S QkA,"',
Engineered Plan Required(Y/N):_1\If yes,Name of Engineer:
Address of
Engineer: C,�"A �u� `ar _ i �el : tLGI-j C—T
Design Plan Approved(Y/N): Date of Approved Plan: :ZI Revision Date:_
Type of Water Supply If well, location been approved(Y/N): J�Jlor
Well Driller's Name: N Address: �J Or
{� OFFICE USE ONLY
Approval to Construct issued by: �\01 Date: a�
(Director of Health or Registere unitarian)
Signature: � Title: �\
w
STATE OF CONNECTICUT
I)EPARTMENT OF PUB WMEA#TH.
PURSUANT TO THE PRd W91ONS OF THE.GENPRAL STATUTFS OF CONNPc'T CUT
THE-#NDiViDUAE:NAMAD SESAW:IS LICENSED
s TMS:DEPARTMEKTASA::.
SUB SURFACE SEWAl3E:INSTALLER
LICENSE NO.
003002
C131iRFM THROUGH
1tM/12
JO D. � VALIDATION NO.
.......
St'NA.M.R, O�BiH3.901�!
03/01/2012 THU 09:02 FAX 210 349 2464 ERCC OFFICE 2001
*********************
*** FAX TX REPORT ***
*********************
TRANSMISSION OK
JOB NO. 3442
DESTINATION ADDRESS 98606674164
PSWD/SUBADDRESS
DESTINATION ID
ST. TIME 03/01 09:01
USAGE T 00' 48
PGS. 3
RESULT OR
Town of South Windsor— Health Department
1540 Sullivan Avenue,South Windsor,CT 06074-2786
Phone: 860-644-2511 ext.248 Fax: 860-644-7280
DESIGN RECOMMENDATIONS FOR REPAIR OF SEWAGE DISPOSAL SYSTEM
PROPERTY OWNER(S): Roland Houle
STREET ADDRESS: 564 Main Street, South Windsor
RESIDENTIAL(#of Bedrooms): 5
SEPTIC TANK: Install 1,500 gallon two-compartment septic tank with approved outlet filter.
LEACHING SYSTEM: 742.5 square feet of effective leaching area required.
Maximum Depth into original grade is not to exceed thirteen(13)inches.
Minimum Leaching System Spread(MLSS)is to be addressed and calculations to be included on plan.
SPECIFIC INSTRUCTIONS:
1. Construction plot plan(drawn to scale)to be submitted and approved by this office prior to issuance of
permit to construct.
2. Plot plan must indicate location of proposed structure,water supply,septic system,embankments,
watercourses,property lines,and existing and proposed finished grades.Benchmark to be set and indicated
on plan.
3. Indicate on plan that existing Septic Systems(front and back yard)are to be properly abandoned.
SIGNATURE: G�' t,, DATE: l SZ
South Windsor Online Property Viewer Page 1 of 2
Town of South Windsor, CT Property Record Card
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Property Information
Parcel ID 54900564
Address 564 MAIN STREET
Owner HOULE ROLAND C
Owner Address 564 MAIN ST
City State Zip SOUTH WINDSOR, CT 06074
Sale Date 1/30/2003
Book/Page 1410323
Census Tract 4873
Valuation
Assessed Value $246,080.00
Zone Code RESIDENTIAL A-40
Primary Land Use RESIDENTIAL LOT
Building Information
Year Built 1954.000000
Style COLONIAL 2
Bedrooms 5.000000
Rooms 9.000000
Total Area 0.000000
http://host.appgeo.com/SouthWindsorCT/PropertyRecordCard.aspx?PropertyID=54900564 2/23/2012
South Windsor Online Property Viewer Page 2 of 2
Water Code
Sewer Code
Gas Code
Lot Information
Area Acres 1.46
Sq Ft 63597.00
Date Printed:2/23/2012
http://host.appgeo.com/SouthWindsorCT/PropertyRecordCard.aspx?PropertyID=54900564 2/23/2012
New York • Massachusetts
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PPR � vE � MAR232012
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NEWINGTON, CT GROTON, CT BRIDGEPORT, CT NEW MILFORD, CT CANTON,MA
124 Costello Road 86 Bridge Street 9 Island Brook Ave. 506 Danbury Road 2 Whitman Road
(860)666-5634 (860)405-0146 (203)384-9402 (860)354-0223 (781)828-1350
NORTH HARWICH,MA WORCESTER,MA WATERTOWN,NY CLIFTON PARK,NY NORTHEAST
518 Depot Street 57 Southwest Cutoff 800 Starbuck Ave. 612 Pierce Road PLANT DIVISION
(508)430-1696 (508) 754-2027 (3.1-5) 782 3785 (518)877-3086 (877) 754-2107
Town of South Windsor — Health Department
4 1640 Sullivan Avenue, South Windsor,CT 06074-2786
Phone: 860-644-2511 ext. 248 Fax: 860-644-7280
APPROVAL TO CONSTRUCT OR REPAIR SEWAGE DISPOSAL SYSTEM
Approval is hereby granted for the construction/repair of a subsurface sewage disposal system
at the property described below:
PROPERTY OWNER(S): Roland Houle
STREET ADDRESS: 564 Main Street TOWN:South Windsor
INSTALLER: Joseph Carey CT. LIC#003092 EXPIRES: 11/30/2012
RESIDENTIAL: #of Bedrooms 5
INSTRUCTIONS FOR INSTALLER
1. Construction plot plan submitted and approved by this office must be adhered to.
2. This office must be contacted for approval if any change is going to be made in the system
location,size or design,or any changes in house,well or property line locations.
3. Any NEW sewage disposal system must conform to ALL requirements of Section 19-13-BI03 of the CT
Public Health Code.
4. ALL new construction to be under DIRECT supervision of a CT licensed installer under Section
20-341 of the CT General Statutes.
5. The installer is RESPONSIBLE for VERIFYING LOCATIONS of PROPERTY LINES, WELLS,
and BURIED UTILITYLINES prior to construction.
6. Installer to notify South Windsor Health Dept.24 hours prior to the start of construction.
7. Installer to have septic tank covers removed at the time of inspection.
SPECIFIC INSTRUCTIONS:
1. install per approved plan, (Civil Solutions, LLC , Cad File cs_1190_rp, Dated: 03/20/2012).
2. Licensed Installer to field stake house, well (if applicable);permanent benchmark, and septic system. Offset stakes
to include bottom of trench or flow line elevations. Health Dept. staff to conduct stake inspection prior to
construction of system.
3. Permanent benchmark to be set within 50 feet horizontally and 12 feet vertically of septic system.
4. Install a 1,500 gallon two compartment septic tank, with an approved outlet filter. Risers are to be installed if there
is to be more than 12"cover over septic tank cleanouts.
5 Install 755.2 square feet of effective leaching area, consisting of one double row, 128 feet long (with a d-box in the
middle), of Quick 4 Standard Infiltrators, surrounded by a foot of approved stone aggregate. Approved stone
aggregate shall meet the No. 4 or No. 6 stone aggregate gradation.
6. Max depth into original grade is not to exceed thirteen(13) inches.
7. Installer to schedule, and be present for final inspection with Health Dept. staff. Level to be set up for verification of
elevations OR an engineer's/surveyor's as built will be required.
8. installer to complete and submit septic system as built plan and drawing with ties to the house.
9. Existing septic systems to be properly abandoned.
SIGNATURE: a, p DATE ISSUED: 03/21/2012 RENEWAL:_I 1
APPROVED BY: Robert D tu EXPIRES: 03/21/2013 EXPIRES: 1 l
p
THIS PERMIT IS VALID FOR A PERIOD OF ONE YEAR FROM DATE OF ISSUE.IN ACCORDANCE WITH THE CT PUBLIC HEALTH CODE
SECTION 19-13-BI03e(F)(1). ONE RENEWAL IS POSSIBLE PROVIDED SOUTH WINDOR HEALTH DEPARTMENT IS NOTIFIED PRIOR TO
THE EXPIRATION DATE NOTED ABOVE. IF PERMIT EXPIRES, INSTALLERS ARE CHANGED, OR ANY OTHER DEVIATION FROM THE
ORIGINAL PERMIT,A NEW APPLICATION MUST BE COMPLETED AND ALL APPLICABLE FEES MUST BE PAID.
FEE PAID:10.00 CHECK# N/A(Cash) DATE PAID:0312012012
Map Unit Description:Haven and Enfield soils,0 to 3 percent slopes—State of
Connecticut
State of Connecticut
32A—Haven and Enfield soils, 0 to 3 percent slopes
Map Unit Setting
Elevation:0 to 1,200 feet
Mean annual precipitation:43 to 54 inches
Mean annual air temperature:45 to 55 degrees F
Frost-free period. 140 to 185 days
Map Unit Composition
Haven and similar soils.60 percent
Enfield and similar soils:25 percent
Minor components: 15 percent
Description of Haven
Setting
Landform:Outwash plains,terraces
Down-slope shape:Convex
Across-slope shape:Linear
Parent material:Coarse-loamy eolian deposits over sandy and
gravelly glaciofluvial deposits derived from granite and/or schist
and/or gneiss
Properties and qualities
Slope:0 to 3 percent
Depth to restrictive feature:More than 80 inches
Drainage class:Well drained
Capacity of the most limiting layer to transmit water
(Ksat):Moderately high to high(0.57 to 1.98 in/hr)
Depth to water table:More than 80 inches
Frequency of flooding:None
Frequency of ponding:None
Available water capacity.Low(about 5.1 inches)
Interpretive groups
Land capability(nonirrigated): 1
Typical profile
0 to 7 inches:Silt loam
7 to 14 inches:Silt loam
14 to 20 inches:Silt loam
20 to 24 inches: Fine sandy loam
24 to 60 inches:Stratified very gravelly sand to gravelly fine sand
Description of Enfield
Setting
Landform:Outwash plains,terraces
Down-slope shape:Convex
Across-slope shape:Linear
Natural Resources Web Soil Survey 2/27/2012
Conservation Service National Cooperative Soil Survey Page 1 of 3
b
h
Map Unit Description:Haven and Enfield soils,0 to 3 percent slopes—State of
Connecticut
Parent material. Coarse-silty eolian deposits over sandy and gravelly
glaciofluvial deposits derived from granite and/or schist and/or
gneiss
Properties and qualities
Slope:0 to 3 percent
Depth to restrictive feature:More than 80 inches
Drainage class:Well drained
Capacity of the most limiting layer to transmit water
(Ksat):Moderately high to high (0.57 to 1.98 in/hr)
Depth to water table:More than 80 inches
Frequency of flooding:None
Frequency of ponding.None
Available water capacity.Moderate(about 6.6 inches)
Interpretive groups
Land capability(noniftated): 1
Typical profile
0 to 3 inches:Slightly decomposed plant material
3 to 4 inches:Moderately decomposed plant material
4 to 12 inches:Silt loam
12 to 20 inches:Silt loam
20 to 26 inches:Silt loam
26 to 30 inches:Silt loam
30 to 37 inches:Stratified coarse sand to very gravelly loamy sand
37 to 65 inches:Stratified very gravelly coarse sand to loamy sand
Minor Components
Agawam
Percent of map unit.4 percent
Landform:Outwash plains,terraces
Down-slope shape:Linear
Across-slope shape:Linear
Branford
Percent of map unit.3 percent
Landform:Outwash plains,terraces
Down-slope shape:Linear
Across-slope shape:Linear
Ninigret
Percent of map unit:2 percent
Landform:Outwash plains,terraces
Down-slope shape:Linear
Across-slope shape:Concave
Tisbury
Percent of map unit.2 percent
Landform:Outwash plains,terraces
Down-slope shape:Concave
Across-slope shape: Linear
Raypol
Percent of map unit.2 percent
U$DA Natural Resources Web Soil Survey 2/27/2012
Conservation Service National Cooperative Soil Survey Page 2 of 3
V
Map Unit Description:Haven and Enfield soils,0 to 3 percent slopes—State of
Connecticut
Landform:Depressions, drainageways
Down-slope shape:Concave
Across-slope shape:Concave
Unnamed,gravelly surface
Percent of map unit:2 percent
Data Source Information
Soil Survey Area: State of Connecticut
Survey Area Data: Version 10, Mar 31, 2011
USDA Natural Resources Web Soil Survey 2/27/2012
Conservation Service National Cooperative Soil Survey Page 3 of 3
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Fax Server. 2/22/2012. 2:05:26 PM PAGE 3/003 Fax Server
Emergency Response and Spill Prevention Division
Emergency Incident Report
Cass Na: 2012 00859
Stall!Re+xtvirtg Calk 205 COX,MICHAEL Assigned 1'a-000 NO RESPONSE
Date Repelled; 022=12 ' Time Reported: 14:00'
Date of Release: 02=2012 Th*of Release:UNKNOWN
Town d Releaw: SOUTH WINDSOR Slate of Release: CT
Location of Repotted Rolisse: W4 MAIN STREET
RlQottt d Sy: KEVIN MARTIN Phone: (860) 720.SM
Repts�.entlrtg: MARTIN TANK REMOVAL LLC.
Rerpora"Party: ROLIAND C HOUL•E Phone: (800) 52"341
StnotAddro3s: SAA
Town, Stag: Zip Cade:
Does the Responsible Patty apt Finanoiaf ResponslAW YES '
Retaaw Type: PETROLEUM
Refdase substance! e2 fuel-
Medfa: sat
Total Quenmr. O easom 0 Cubic Yards 0 Cubic Feet Comm* o Pounds
Emergency Measures: 1 k UST
Has the Release Been Tetmleated4: YES
Type of WatotbWy Aflectcd: ' NODE
Kew ofWatedbodyAfteded:' WA
TOM Quantity Recoveted: 0 Total Cual ty h Watgr. 0
Cowed*A*Wm Taken: REMOVED TANK +
DLcharga Claris PRIVATE
Cauca of.iMMerrt:• •iNGROUNI?TANK FAILURE, ,
'pgonekrs Nokftd: ,PEP.DISPATCH
status: `
f
ZOO/T00'd T6TV V3V 09B GAIH 'd'H'Q ZO:LT ZTOZ—ZZ—aHd
Page 1 of 1
McGann, Sherry
From: McGann, Sherry
Sent: Thursday, February 23, 2012 2:25 PM
To: 'kevin_p_martin@sbcglobal.net'
Subject: Septic Repair-564 Main Street, South Windsor
Hi Kevin,
I reviewed the files and have found no information on the septic system(s)located at 564 Main Street.
Public sewer is not available in that area. According to my water map the house is served by MDC public
water system. I will plan on meeting you at the property on Monday, February 27 between 1:30-2:00pm.
Please have the test holes dug(minimum depth of 7ft)and ramped, and pre-soak the perc hole at least
one hour prior to my arrival. Feel free to give me a call in the morning if you have any question or
concerns. Have a good afternoon.
Sherry
Sherry McGann,as xHs
Environmental Health Officer
Town of South Windsor
1540 Sullivan Avenue
South Windsor,CT 06074
(860)-644-2511 ext.248
www.southwindsonom
c
V
2/23/2012
Print Lookup Details Page 1 of 1
State of Connecticut
Lookup Detail Yew
Name
Name
KEVIN P MARTIN
License Information
looku
License Type License Expiration Granted License License Licensure Actions or
Number Date Date Name Status Pending Charges
Sub-Surface Sewage 5487 02/28/2013 07/17/2000 Kevin P.Martin ACTIVE None
Installer
Generated on: 2/23/2012 2:29:08 PM «
https://www.elicense.ct.gov/Lookup/PrintLicenseDetails.aspx?cred=794803&contact=110... 2/23/2012