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HomeMy WebLinkAboutSeptic Repair 210 Diane Drive Town of South Windsor — Health Department r 1540 Sullivan Avenue, South Windsor, CT 06074 Phone: 860-644-2511 ext. 248 Fax: 860-644-7280 �ry�sns•c�``o PERMIT TO DISCHARGE Approval is hereby given to Lax N uV' in accordance with Public (Property Owner) Health Code Section 19-13-B103e(h)to discharge to a subsurface sewage disposal system located at (Street Address) in the town of SCNj-k-'Y\. CT that will receive domestic sewage from a: Residential building containing 3 bedrooms. Single family(Y/N): Restaurant containing seats. Commercial/Office building providing square feet. Other structure as described: Design Flow= Ll SO gallons per day. Permitted Flow 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 Sop 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/l)___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: _1�2-1 t Inspected By: Permit Issuance: Issued by: �- (Director of Health br Registered Sanitarian) Signature: Date:_ 2�-yo 1�� Town of South Windsor — Health De artment p Subsurface Sewage Disposal System Inspection Report PROPERTY LOCATION: o j),a,,Q br-; ". BOTTOM OF EXCAVATION: DATE: h�� y} INITIAL PERCOLATION TEST "FILL CHECK": DATE: �,1� INITIAL DEPTH HOLE# DEPTH HOLE# TIME READING TIME READING PERC PERC —rc.r.ly FINAL INSPECTION: SANITARIAN_ Ste; \Mc,C DATE:-' 221 ,3 1. SEWER LINE: A. SEWER LINE CEMENTED AT FOUNDATION(Y/N) ................PIPE LENGTH I ' B. PITCH(.25 inches per foot min)REQUIRED FT................ PROVIDED 3" FT D. PIPE TYPE&ASTM SPEC. 5,a„�ot ,,}, -1p...Pt -t .........PIPE SIZE(INCHES) 2. SEPTIC TANK: _ A. MANUFACTURER DATE MFD \\-\—\3 SIZE. I,odo GALLONS B. TANK COMPARTMENTS PLA ED PROPERLY(Y/N)................................................ y C. INLET BAFFLE(not in middle of opening).__.......... OBSERVATION OPENING(slag removal) D. OUTLET BAFFLE FILTER TYPE'Tv.-f--\,x,,e RISERS NEEDED(Y/N) � SIZE G" E. TYPE OF PIPE p�6-Tv.k 303y\ (approved by code) 3 PUMP CHAMBER/GREASE TRAP: A. PUMP CHAMBER MANUFACTURER ...SIZE GALLONS B. TYPE PUMP ............PUMP ALARM CHECKED (Y/N) C. FLOAT CONTROL ELEVATION VERIFIED(Y/N). .....TYPE OF PIPE D. GREASE INTERCEPTOR TANK SIZE GALLONS........MANUFACTURER 4. D BOXES: A. LEVEL(Y/N) SERIAL DISTRIBUTION(High level overflow within top 3")....... C. LEVEL SYSTEM(Ends tied together)(Y/N) 5. TRENCHES: A. LENGTH OF TRENCH............ 1. 2. 3. 4. 5. 6. B. GALLERIES (stone around all units).1. 2. 3. 4. 5. 6. C. CENTER-TO-CENTER SPACING FILTER FABRIC PRESENT(Y/N) TYPE D. APPROVED AGGREGATE FREE OF SILT DIRT&DEBRIS (Y/N). F. AGGREGATE MEETS PHC SPECIFICATIONS(Y/N) TYPE OF PIPE G. LEACHING SYSTEM DESCRIPTION: 6. SEPARATION DISTANCES CONFORM WITH APPROVED PLAN(Y/N) SESES TION DISTANCES FIELD VERIFIED (Y/N) PASS FAIL COMMENTS: WELL INSPECTION: SANITARIAN DATE: WELL LOCATION Sanitary Well Cap Rev.April 2012 FINAL INSPECTION ELEVATIONS PROPERTY LOCATION: ?—kc-� 'D," TOWN: PROPERTY OWNER:_ INSTALLER: SANITARIAN: DATE: LEVEL TO BENCHMARK(ROD READING) BENCHMARK ELEVATION HEIGHT OF LEVEL ROD READINGS TOP OF PIPE DISTANCE TO INVERT INVERT ELEVATION _(Top of pipe&diameter of pipe) SEWER LINE AT FOUNDATION 5 ,25 SEPTIC TANK INLET SEPTIC TANK OUTLET s,<10 PLJMP/GREASE TRAP INLET PUMP/GREASE TRAP OUTLET D-BOX# I INLET (�, FLOWLINE RIGHT -) ,© FLOWLINE LEFT 1.0 OUTLET D-BOX#2 INLET FLOWLINE RIGHT FLOWLINE LEFT OUTLET D-BOX#3 INLET FLOWLINE RIGHT FLOWLINE LEFT OUTLET TRENCH # I RIGHT LEFT TRENCH # 2 RIGHT LEFT TRENCH # 3 RIGHT LEFT INVERT ELEVATION=Top of Pipe+Diameter of Pipe—Height of Level HEIGHT OF LEVEL= Benchmark+Rod Reading Reference: Page 2 RFQF�i8rrn ar4� l�ch per,?-own ? t T • SOT �0�� i 1540 SUUJVAN/�VEWtiE.S4t13N WtN[1S�R h'F,g4 'NItvb 'SoacaN 46{?74 F/pFp"R TELEPHONE(860)644-2511 SOPUC SyStem As- Bit Flan Stred Address .7-1 ODate 1 1: 2*7- 12 Pennit Number New Se atic y o f "N L y { r Sep#ic Syeintexatiri of Sin Nurnber.of Beetrooms or Design Flow Of Btult Ty • - ����aenxc�B,,innit3irs,galcries) . SQL footage Of"Stem Total length Width .vk�V'toEffective Area Capacity of Tank �lbM New t .IdenA ofhouse sewer pipe Minimum distance between 800o tank and found ti0n r Minimum distance between lambing field andl fbundado. Minimum distance between sewage system and nearest well Public water supply { Minimum.-distance between leaching sydem.and ro P paty boundary L rtam drain required? "Yes�! No f Mi2ilmum distance ftm le aebing field to drains ' (certain drain,fowdatioi,stormwate r,do.) i h w Septic System As Brut plan Address t7 2. [ j V,) Date 122-arl-13 Location of System Eft ,E, ,front,back side cif houst Dom}a substantially correct drawing showing separation distances of the septic system installation.Include all of the following information to provide an accurate record of entire system location: At lust two sides of the building nearest the system,septic tank,house sewer,distribution boxes, trench ends,dry welts,curtain drain,potable water supply wells and any other features affecting the system and its location:. Installers Name CLS .4 ,- e t j ces Licenme NumberInstallers Address 2- Coo O Z w' street, ho 5 ci ,state and zip c o e) )r31e-411 ak "�,7 LU TP of C'a.( - g o b� K- Toe'of 'r a� l i �y ,o _ _ _ `i Tu4Tjj- r Leh ' _ _ ; ��Tj� d look 2 P beaus ryu5T-Ilik DD� PtFE Fer-1co Gonfltc-�6n5 "� Qra.n��"9 f -�utit�� �' � �ioe-S, oL 3 Distance from corner A , Distance from.corner Distance from corner C Distance from corner D U.Mx e£4t Town of South Windsor — Health Department 1540 Sullivan Avenue, South Windsor, CT 06074-2786 R•C°c� 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): Carmella Rojecki STREET ADDRESS: 210 Diane Drive TOWN: South Windsor INSTALLER: Andrew Coleman CT. LIC#5839 EXPIRES: 03/31/2014 RESIDENTIAL: #of Bedrooms- 3 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-DI03 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 PROPERTYLINES, 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: SEPTIC TANK AND SEWER LINE REPLACEMENT ONLY 1. Install per approved plan, (Andrew Coleman, Dated: 12/19/2013). 2. Install a 1,000 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. 3. Replace existing sewer line with approved building sewer pipe. Sewer line pitch to be at least%inch per foot. 4. 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. 5. installer to complete and submit septic system as built plan and drawing with ties to the house. 6. Existing septic tank to be properly abandoned. SIGNATURE: ---)' DATE ISSUED: 12/1912013 RENEWAL:_I_I APPROVED BY: Sherry M nn, REHS/RS EXPIRES: 12/19/2014 EXPIRES: / 1 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)(I). 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# 1008 DATE PAID:1211912013 Septic Repair for: Al Cavicchi 210 Diane Dr -South Windsor Design Criteria: Tank replacement only, 3 bedroom house, public water Proposed: install a new 1000 gallon 2 compartment concrete septic tank with an outlet filter and risers to grade. Pump,crush, and fill the existing septic tank. Connect the house to the tank using 4"sch40 pvc. Connect the new tank to the existing leaching system. Install a new pvc distribution box.There are no wells within 75' of the system. OrV ` tp t No 0". s C 'pQo 6 , SbR js' c (Z"5`/5 trace Designed By:Andrew Coleman ?`� j License: 5839 _ Town of South Windsor - Health Department 1540 Sullivan Avenue, South Windsor, CT 06074-2786 Phone: 860-644-2511 ext. 248 Fax: 860-644-7280 fs�pp.an APPLICATION FOR APPROVAL TO CONSTRUCT A SUBSURFACE SEWAGE DISPOSAL SYSTEM Application/Permit#: To the Director of Health,Town of: ✓ �✓` �S a� Date: Application is hereby made for an approval to construc/tt a subsu/rrfacee sewage disposal system for a: `/ (Residential ,Building,Restaurant,Retail Building,etc.) located at: Z/U C �A P_ 01 (Street Address,Lot Number,Subdivision Name,Map,Block,Lot,etc.) New System / Addition ,JRepair! k Other Owner �` �G�, c Address // �l'`z �t�4 Te1.No. 6 V q—6 0 17 Installer _G✓�s�t'.�R!z� � u s Address Z1 D-�%/,.A Tel.No. -5-73 "00 5-7 'c Installer License No. 3 In accordance with detailed information stated below: Application fee paid Signed (Owner or duly authorized r presentative) ------------------------------------------------------------------------------------------------------------------------------------- f GENERAL INFORMATION Soil Tests Conducted(Date): G/I � Orl Lot size sq.ft. Area of Special Concern(Y/N): If yes,Reason(s): Basis of Design(#of Bedrooms,Restaurant Seats,Building Size,etc.): Engineered Plan Required(Y/N): If yes,Name of Engineer: Address of Engineer: Design Plan Approved(Y/N): Date of Approved Plan: Revision Date: Type of Water Supply If well,has location been approved(Y/N): Well Driller's Name: Address: OFFICE USE ONLY Approval to Construct issued by: Date: (Director of Health or Registered Sanitarian) Signature: Title: Drabek, Bernard From: CallCenter@CBYD2.com Sent: Thursday, December 19, 2013 2:33 PM To: CBYD Subject: Locate Request-20135101331 (CALL BEFORE YOU DIG - CT) 12/19/2013 14:32:25 -5G -AH -Cl -CW -G5 -OT 2-SW SWINDS -T5 -------------------------------------------------------------------------- *** REMOTE BATCH ENTRY *** ***** ROUTINE ***** TIME. .14:32 DATE. .12/19/2013 REQUEST NO. . .20135101331 LATITUDE. .41.8216645 LONGITUDE. .-72.5108674 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .210 STREET. . . .DIANE DR NEAREST CROSS STREET. .BRENT DR -------------------------------------------------------------------------- TYPE OF WORK. . . . .INSTALLING A SEPTIC TANK AREA IS MARKED. . .YES REMARKS: WORKING ALL OVER THE PROPERTY -------------------------------------------------------------------------- START DATE. . . . . .12/26/2013 START TIME. .08:00 CALLER. . . . . . . . . .ANDREW COLEMAN CALL BACK. . . . . . . PHONE #. . . . . . . . .860-871-2616 FAX #. . . . . . . . . . .860-871-1587 ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .WASTE WATER SERVICES ADDRESS. . . . . . . . .100 WINDERMERE AVE CITY. . . . . . . . . . . .ELLINGTON STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06029 -------------------------------------------------------------------------- EXCAVATOR DOING WORK. .WASTEWATER SERVICES ISSUED TO: DATE: TIME: BY: DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY: CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: PERSON CONTACTED: PERSON CONTACTED: 1 Town of South Windsor, CT F Property Listing Report GIS PIN 28200210 Account 28200210 gLSt)R.0 Property Information Property Location 210 DIANE DRIVE Sewer Service Owner ROJECKI CARMELLA Census Tract 4872 Co-Owner Neighborhood Malting Address Zoning Code A20 Acreage 0.64 Land Use 101 Res Dwelling Book/Page Land Class R Lot Setting/Desc Water Service CONNECTICUT WATER 860.623.3365 Trash Day FRIDAY Photo Sketch Primary Construction Details Year Built 1965 Bedrooms 3 Exterior Wails Vinyl Siding Stories 1.0 Full Bathrooms 1 Interior Walls Drywall Building Style Ranch Half Bathrooms 0 Heating Type Hot Water Building Use Residential Bath Style Average Heating Fuel Gas Building Condition C Kitchen Style Average AC Type Floors Carpet Roof Style Gable Gross Bldg Area 2772 Total Rooms Roof Cover Asphalt Total Living Area 1236 Report Created On 12/19/2013 w s Town of South Windsor, CT K4 Property Listing Report GIS PIN 28200210 Account 28200210 Valuation Summary (Assessed value=70%of Appraised Value) Outbuilding and Extra Items Item Appraised Assessed Type Description Buildings Outbuildings Improvements Extras Land Total 0 Sub Areas Subarea Type Gross Area(sq ft) Living Area(sq ft) Total Area 2772 1236 Sales History Owner of Record Book/Page Sale Date Sale Price Report Created On 1 211 9/2 01 3 /Y i t O (O G 1 N j A ' o D ti �• o\ 1 S ORY WOOD' 47' W l `"p,c.4r. W 8 CfIPPEO STCJ3 �' 43 a 69 > x '-�i" ono, 4f 70 r \ 1 7� a a 6 100 5543.76 � DRIVE i C.S. elk 0 w c +00 g r38 _ 6C.D. N 100 8d I � � 4 ._ 574. 6*94 0� I 1 73 e 46.y 050P m L m I ' 51 'N 000 )OD - 1 STORY WOOD �� i 5 # ZOO 0 0200 1 � � Sr4 ¢r?a STt! 5 y/.¢ i 7.5 dfEP Al IF CARMELLA !RV ING E NOM/ L. IVTNoNY J. EKE S/ ONOFF ,A KO J E CKI 13 + I f { /niv. /94.69 hVV. /97.46 a /0 OJGY)e- Or m-ld-1 3