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HomeMy WebLinkAboutSeptic Correspondence 1020 pleasant vall RpYIN Sfq a Tom 011 � w� 1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074 l�Oson•ca TELEPHONE (860) 644-2511 July 28,2014 John Fritz 18 Ruby Road Marlborough, CT 06447 Re: 1020 Pleasant Valley Road, South Windsor,CT 06074 Dear Mr.Fritz: Upon review of our records, it has come to our attention that several items have not been completed that are required in order for this office to issue approval for the installation of the septic system and drilled well at the above listed property owned by you. The following items are required and are to be submitted to the Health Department: • As-Built Plan for Septic System (to be completed by licensed septic system installer-copy of form enclosed) • Drinking Water Potability Test In addition, a final inspection of the septic system pump chamber and house sewer line is required. Please call this office to schedule at 860-644-2511, ext. 248. A permit to discharge for the septic system and approval for use of the well will not be issued until these items have been addressed. Please do not hesitate to contact me with any questions. Sincerely, Sherry Mc ann,as,REig HHs Environmental Health Officer cc: Chris Dougan,Chief Building Official Enc. 0 � `M•t Town of South Windsor - Health Department 1540 Sullivan Avenue, South Windsor, CT 06074 4 y Phone: 860-644-2511 ext. 248 Fax: 860-644-7280 �'��SOIt•G®d PERMIT TO DISCHARGE Approval is hereby given to John Fritz(Property Owner),in accordance with Public Health Code Section 19-13-B103e(h)to discharge to a subsurface sewage disposal system located at 1020 Pleasant Valley Road in the town of South Windsor, CT that will receive domestic sewage from a: Residential building containing 3 bedrooms. Single family(Y/N): Y Restaurant containing seats. Commercial/Office building providing square feet. Other structure as described: Design Flow=450 gallons per day. Permitted Flow=450 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 300 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) 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._ 2.At the time of routine tank pumping,every 3 to 5 years,the pump alarm should be tested. Exceptions (Repairs Only): File Information: Construction Permit No.201300103 . Approved as-built on file(Y/N)Y. Date of Final Inspection: 8/5/13 Inspected By: Sherry McGann Permit Issuance: Issued by: Dr.Gerald Schwartz Title: Director of Health,MD (Director of Health or Registered Sanitarian) Signature: y1�,_Date: /°J�/ Ire Town of South Windsor — Health Department 1540 Sullivan Avenue, South Windsor, CT 06074 RECEIVED Phone: 860-644-2511 ext. 248 Fax: 860-644-7280 �`vnsvx•cdti� DEC 112014 SOUTH WINDS®R HEARTH pep- SEPTIC SYSTEM AS-BUILT PLAN Date Permit Number Street Address Q -New Septic System Repair of Septic System Alteration of System Number of Bedrooms OR Design Flow of Building Type of System Installed►G ( .g. stone trenches, infiltrators, galleries etc.) Square Footage of System: Total Length 122 � Width Effective Leaching Area - r�4 Capacity of Tank loge <vf/o 4 Tank: New Existing Length of House Sewer Pipe Minimum Distance Between Septic Tank& Foundations` Minimum Distance Between Leaching Field & Foundation o2S Minimum Distance Between Sewage System & Nearest Well '75-' Public Water Supply Minimum Distance Between Leaching System and Property Boundary ' Curtain Drain Required? 'OG, Minimum Distance From Leaching System to drains (curtain,foundation,storm water, etc.) ***DRAFT DRAWING ON REVERSE SIDE OF FORM SEPTIC SYSTEM AS-BUILT PLAN (Continued) Address Y !W 6�,P Date / /3,&y Location of System a ct _side of house (N.S.E.W.,Front,Back) Draft a substantially correct drawing showing separation distances of septic system insallation. 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. Installer's Name/?,h 0-M n n License# a� ► ?3 Installer's Address 5%; ?',njl­ `54- i'�1rrYi�/� oD (street,city,state,zip code) Installer's Email /I o j-t.e_ C r000 � � r 1°� Lip I i Point #1 #2 #3 #4 #5 #6 #7 #8 Distance from corner"A" Distance from corner"B" t f � ,/ � a v �t Distance from corner"C" `f 0 ✓ J Distance from corner"D" E 5 Town of South Windsor — Health Department Subsurface Sewage Disposal System Inspection Report PROPERTY LOCATION: BOTTOM OF EXCAVATION: DATE: -] '3ta �3 INTI'IAL _ PERCOLATION TEST "FILL CHECK": DATE:�3 INITIALS_ fDEPTH 1° HOLE# DEPTH HOLE# TIME READING TIME READING ti�5 F' PERC q PERC K 413-dt�c�sus .t FINAL INSPECTION:SANITARIAN �j1�es V•,L.t,ram,,.. DATE: � S g 1 ,�. sqj 1. SEWER LINE: A. SEWER LINE CEMENTED AT FOUNDATION(Y. ................PIPE LENGTH' B. PITCH(.25 inches per foot min)REQUIRED � .-? FT................PROVIDED S.7 6 FT D. PIPE TYPE&ASTM SPEC. A.q 6 �—VA.9b6;5...................PIPE SIZE(INCHES) f-1" 2. SEPTIC TANK: A. MANUFACTURER ace �,: Xs DATE MFD b �3 _SIZE. 00 GALLONS B. TANK COMPARTMENTS PLA ED PROPERLY(Y/N)..................................... .......... C. INLET BAFFLE(not in middle of opening): ..........OBSERVATION OPENING slag removal) D. OUTLET BAFFLE FILTER TYPE RISERS NEEDED(Y/I)±SIZE E. TYPE OF PIPE _ , (approved by code) 3 PUMP CHAMBER/GREASE TRAP: �INS A. PUMP CHAMBER MANUFACTURER( ,-.� Q a( ...SIZE 1 00 C) GAL B. TYPE PUMP . ............PUMP ALARM CHE C. FLOAT CONTROL ELEVATION VERIFIED(Y/N). .....TYPE OF PIPE D. GREASE INTERCEPTOR TANK SIZE iv�:9, GALLQNS.......JAANUFACTURER 4. D.BOXES: A. LEVEL(YIN) 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. 1 jwt-s2. 3. 4. 5. 6. C. CENTER-TO-CENTER SPACING�- 1� FILTER FABRIC PRESENT(Y/N) TYPE S D. APPROVED AGGREGATE FREE OF SILT DIRE'&DEBRIS(YIN). 1 ' F. AGGREGATE MEETS PHC SPECIFICATIONS(Y/N)__ TYPE OF PIPE S D--3S� W-3\-i G. LEACHING SYSTEM DESCRIPTION: - .'2 S` ' t c k--- 6. SEPARATION DIS CES ONFORM WITH APPROVED PLAN(YIN) Y — SEP TION DISTANCES FIELD VERIFIED (Y/N) PASS. AIL. COMMENTS: WELL INSPECTION: SANITARIAN DATE: WELL LOCATION Sanitary Well Cap Rev.April 2012 FINAL INSPECTION ELEVATIONS PROPERTY LOCATION: TOWN: PROPERTY OWNER:- INSTALLER:-- SANITARIAN: S1•c DATE: 3 LEVEL TO BENCHMARK(ROD READING) , (� BENCHMARK ELEVATION IM HEIGHT OF LEVEL. ,� SEWER LINE AT FOUNDATION n 4 ,�b SEPTIC TANK INLET . 6� SEPTIC TANK OUTLET ,6-L PUMP/GREASE TRAP INLET PUMP/GREASE TRAP OUTLET D-BOX# 1 INLET FLOWLINE RIGHT FLOWLINE LEFT OUTLET D-BOX#2 INLET FLOWLINE RIGHT FLOWLINE LEFT OUTLET D-BOX#3 INLET FLOWLINE RIGHT FLOWLINE LEFT OUTLET TRENCH # 1 01� RIGHT 9"1 LEFT 3 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: Town of South Windsor— Health Department REcEi� R 1640 Sullivan Avenue,South Windsor, CT 06074 M EQ Phone: 860444-2611 ext.248 Fax: 860-644-7280 AR J J Z� Sol 13 11100a APPLICATION y 7 vINos (for building conversion,change of use,building addition,accessory structure and lot line change) rN oFp QR Standard application review time is 5-10 da if soil testis is neede additional time will be uired to com lete the review ro= 10�0 4 ,Ca W-6 P► S Y :oad Street Address of Proposed Activity/Structure ` y Tod h Fr;I-z / 1$ Roby RJ) MNYI�Orou a) Cam" R6-z95-'-996L Owner Name Mailing Address Telephone Applicant Name(if different than owner) Mailing Address Telephone Describe the proposed structure or activity with dimensions: • I Residential Number of existing bedroonts_ 4 Non-residential Please describe Property served by on-site well? OY N MNo,List name of water company b Property served by septic system? YO N Age of system F a I £ Date last pumped PIot plan attach a scaled drawing showing property lines and dimensions,location and size of existing and proposed structures,and:site features such as driveways,wells and septic systems,drains and water courses. Building plan—attach a.sketch/floor plan of theproposed structure show' existing and addition or renovation � g roposed rooms with door and window locations. Soil test data(deep test pits and percolation test)are required for the review of this application. If the data is NOT available,you will need to schedule an appointment with the health department for soil testis . As property owner or duly authorized representative of the property owner of the above referenced property,I agree to allow the. health department staff to enter the above referenced property as part of this B I00a application review process.I further agree that this authorization to enter the subject property may extend through a period of time ending with the final B100a application approval and affirm such with my si a below. 3 Applicant Signature: `�U e Date: /13 FOR OFFICE USE-ONLY- Approved: (Y N B . Y' Date: 4 J 18]1 'Z3 s Comments/Conditions: J ,DP f. '0 n IV"P ` n ,A,,, u May 2011 MATERIAL' sTESTING, INN- 9 IL ► 19 55 LAURA STREET • NEW HAVEN,CONNECTICUT 06512 * (203)468-5216 "44ftW fit 42 BOSTON POST ROAD •WILLUNIANTIC, CONNECTICUT 06226 • (860)423-1972 DATE: 07-29-13 REPORT: M-1687 CLIENT: Windham Materials PO Box 346 Willimantic, CT 06226 PROJECT: Client's Information `s`tr CDN,�,��rr� SUBJECT: WASHED SIEVE ANALYSIS(ASTM C-136, D-1140) o Fo Material: Washed Concrete Sand Source: Plains Road Pit, South Windham, CT Sampled: by client and delivered to MTl on 7/22/13 � �,� �, ' ��°•� Sieve Size Percent State of CT Department of Passing Sanitation Specifications 3" (75mm) 100 100 #4 (4.75mm) 100 100 #10 (2.0mm) 79 70-100 #20 (850µrn) 57 #40 (425pm) 37 10-50 #100 (150pm) 9 0-20 #200 (75pm) 1.3 0.5 Percentage of Material 5.3 45% Maximum Larger than#4 (4.75mm) This material as sampled and delivered meets the listed specification. Materials Testing, Inc. Richard C. Kearns t William .i. Souc Fill: Original lcc. H Hopkins, J Halo 1b Test r.pnnt,moo not he reprotfuced:A i w the erpmss psawssio+a of Ir,.mats 14sting.Inc; RCWLs only roi ile W ttorns test"'d. Bottom of Excavation Inspection Checklist Property Location: pt � WA6 , Town: File #: Date: Sanitarian: ,,, 1. Surveyor Stakes: Benchmark Elevation Stake Set................. ..... . . ........ .. .... F or N Offset-Stakes Set: Indicating F/L Elevation/Bottomof Trench.... r N Note: Elevations on stakes should match elevations on plan. 2. Excavated Area: Area cleared and rough graded — topsoil stripped.. ... .. .. ...........eor N All stumps and large boulders removed... .. ....... ...... . . . . ... .. .....(Yor N Area plowed and scarified............................... ...... ........... or N Excavated area is free of water..... ............. .. . .Y or N Note: (If water is present at the bottom of the excavation — water needs to be removed and area rescarified. Ditches can be dug to divert water out of area.). Excavated area extends 5 feet laterally in all directions beyond outer perimeter of the leaching system... ..... .. . . . .. .......&r N - Note: (Measurement of Standard 495 Sq Ft. System - 32 x 65) Overall area.is level . . . ..... . . .. . . .... . . .. . . ... ... .... . .... ..... . . .. .. .. . ....ar N Depth of excavated area makes contact with naturally occurrin pervious material (no compaction or damage).. ... . .. .... . .. . . .. . . .. Y r N Notes: ONE LOT PLAN REVIEW Location of Property: , Reviewer,5A_Date '�.Liud I3 i. : Redline owner o�\� c� -i Engineer Y , ! :" New _ Repair Other Date"Received by HD Fee Paid_ I Date Referred to State.Health Dept Reason for Referral: Well Exc 1 HoldingTank Easement sement Large"System>2000 gal - Common System Other Area of Special Concern: High Groundwater . .Ledge Fast Pere<1 mm/1n_Slow Perc>30mmrn_" Steep Slopes_Other Not anArea_of`Special Concern_ Building Property Use: Residential: Single Family-1ZIMultifamily—Accessory"Unit_#of Bedrooms_ Non-Residential: Use.indicated Basis of Design fo Determining Flow; Daily Flow ) Cad b Design Flow . 6 h Test Pits Observed By: lv 4."ilGv Date: iii I�ASuitable: Pere Test t3y:_S . : .r�. Data: 2 Suitable: MLSS: HFx PFxFFL _`. 4 ft. Restrictive r La e m.Perc Rater Layer _LQ ,minfinch Slope`j Building Sewer: Pipe Typesi�:• `i0 Invert At Building Joints- Invert at Tank7; Length e ft. Drop 6 `7.5 4• Diameter in. Slope intit Cleanouts, Sewer Okay?Yes No Septic Tank: Size- gallons Material 2 Compartment Properly Baffled I "k-L.)L Was kka- i D stance to Buililin g Depth th to Cleanout ft Cteanouts Required Yes T .No _ Diameter 17' 24" Cleanouts Provided on Plan 2-4'Inlet to Outlet - Tank OK?Yes No - Leachina System:. Design Flow_? bdrms GP D Proposed System Type C- �Le t Uzi Perc Rate i d min/inch Total Linear FeetOther Application Rate(Tabre 7 or 8) Effective LeachingQeditlFeet "".. i Required ELA W`fi.`�' SF ELA Provided Sial� SF System Size_:Okay?Yes V No Meets MLSS?Yes No Distribution: Serial - Level Others s Benchmark?Yes —Nv Spot grade on Plan?Ye. ' No Amount of Cover Over LeacWg Field inches S n on: Proposed-Contours Yes _No Trench Detail Yes XNo Cross SectionYes ZNo Bottom of Leaching System: <8 feet below Final rade?Yes ,-70-No 100%Suitable Reserve Area Yes y No._ t o`� c .mot f z..u, `,i 1�,k Sew^ Requires Select FIll?Yes VNo \\=wfieidserverkovff"\6eaM\Common Forms\ONE LOT PLAN REVIEW.doc Leachinta Field: Trench 1 2 3 Highest Existing 4 Grade 9 13 Proposed Bottom G of Trench Depth 3E�1/ Depth OK / N Y / N Y / N Y /.N Ll Pump/Slphon: Size of Chamber I Oc C gallons Number of pumps ( Alarm?fix,) Leaching Pipe Capacity_gallons Gallons/Dose�Q Pipe Capacity Dosed 1 Manhole to Grade?Yes No - Specifications(pumpage rate,maximum head,siphon size,etc.)?Yes _ No PUMP SIPHON SATISFACTORY? Yes No_ Forcemain Pipe Protected from:Freezing?Yes No_ Backsiphonage?Yes _No_ Filled Systems: Material Specifications/Sieve Requirements? ,>uv� Method and%Compaction Percolation Test in Fill Required?Yes No— Grading Confined to Site? Yes No 'Minimum Separation Distances: Septic System to: This Lots Well NI I ft, Neighbor's WeI1227 ft Building Served- ft Accessory Structure L ft Water Service Line >— "! ft Ground Water Drain ft Property Line GIs: ft Nearest Open Wetland or Watercourse_ Bottom of Leach System,Minimum 18"Above Maximum Water Tabled Yes No_ Bottom of Leaching System,Minimum 4'Above�L�erock?Yes V No LEACHING SYSTEM SATISFACTORY? Yes �No_ Ground/Surface Water Drains: n;5 Foundation Footing Drain.Provided? Yes Elevation Curtain Drain Required? Yes No —�ao If Yes, Pipe Invert Elevation Detail Provided?Yes No Drains to.Surface? Yes —No— If Yes, Describe(including location) . Curtain Drain Demonstrated Effective? Yes _No_ Date Ground Surface Properly Graded to Drain? Yes _No GROUND/SURFACE WATER DRAINS SATISFACTORY? Yes _No_ Water Supply: Public Water Supply?Yes No_ Public Water Located within 200 feet?Yes _No_ On-Site Well Yes _No_ Design Withdrawal Rate over 10GPM? Yes _No Minimum Separatio Di n stances: Well to:This Lots Septic System ft. Neighbor's Septic ft. Ground/Surface Water Drain ft High Water Mark of Surface Water Body or Wetland ft Site Graded to.Drain Away From Well?Yes _No Does well radius need to be increased?Yes _No_ Perc rate,Ledge,Withdrawal Rate? Other Source of Pollution(e.g.in-ground fuel tank) ft Miscellaneous: Note Regarding System Staking? Yes /No_ Note Regarding Depth of System Into Original Grade? Yes —No House Plan Reviewed Yes _No_ Complies with Site plan Yes _No_ No.of Bedrooms Large Tubs Yes No Potential Bedrooms: _ Bonus Room,Basement,Other \\mansfieldserver\townhalNualth\ComnanForms\ONE LOT PLAN REVIEW.doc +i'tf S#A Town of South Windsor — Health Department 1540 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): John Fritz RESIDENTIAL: #of Bedrooms-3 STREET ADDRESS: 1020 Pleasant Valley Road INSTALLER: Jeffrey Behrmann TOWN: South Windsor CT. LIC# 5218 EXPIRES: 05/31/2014 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 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: 1. Install per approved plan, (Rob Hellstrom Land Surveying, LLC, Project#2012-084, Revised: 03/08/2013). 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. 3. A bottom of excavation inspection is required. Original topsoil must be removed and replaced with suitable select fill material. Select fill to be perced once in place. 4. Current Sieve analysis (within 30 days)for select fill must be submitted to the South Windsor Health Department. 5. Permanent benchmark to be set within 50 feet horizontally and 12 feet vertically of septic system. 6. 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. 7. Install a 1,000 gallon pump chamber with watertight risers/manholes to grade and high level alarm. Approved force main piping to be used as detailed in CT Public Health Code - Technical Standards (Table 2d). Force mains shall be freeze protected by locating pipe below the frost line, allowing back drainage into the pump chamber through a weep hole, or other means (insulation). Licensed electrician to obtain permit from building official for operation of pump. 8. Install 519.2 square feet of effective leaching area, consisting of one row, 88 feet long, of 4' wide by 12" high concrete gallery units, surrounded by a foot of approved stone aggregate with a d-box in the middle. Approved stone aggregate shall meet the No. 4 stone aggregate gradation. 9. Max depth into existing grade is not to exceed four(4) inches. 10. 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. 11. Installer to complete and submit septic system as built plan and drawing with ties to the house. 12. Existing septic system to be properly abandoned. SIGNATURE: DATE ISSUED: 07/09/2013 RENEWAL:-7/01/2.oiK APPROVED BY: Sherry Mc nn,OBS,REHS,HHS EXPIRES: 07/09/2014 EXPIRES:3 / zoos 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 WINDSOR 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#4144 DATE PAID: 1112612012 Commercial Recording Division Page 1 of 1 Business Inquiry & HONE HELP Business Details Business Name: BEHRMANN EXCAVATING LLC Citizenship/State Domestic/CT Inc: Business ID: 0920777 Last Report Filed 2010 Year: Business Address: 512 TAYLOR STREET, Business Type:e: Domestic Limited Liability MANCHESTER, CT, 06042 Company Mailing Address: NONE Business Status: Active Date Inc/Registration: Dec 03,2007 Principals Details Name/Title Business Address Residence Address JEFF J. BEHRMANN 512 TAYLOR STREET, 512 TAYLOR STREET, MANCHESTER, CT, 06042 SR OWNER MANCHESTER, CT, 06042 Agent Summary Agent Name JEFF J. BEHRMANN SR Agent Business 512 TAYLOR STREET, MANCHESTER, CT, 06042 Address Agent Residence 512 TAYLOR STREET, MANCHESTER, CT, 06042 Address Back View Filing History View Name History w Shares http://www.concord-sots.ct.gov/CONCORD/Publiclnquiry?eid=9744&businessID=0920777 7/9/2013 Print Lookup Details Page 1 of 1 State of Connecticut fir= Lookup Detail View Name Name JEFFREY J BEHRMANN License Information lookup License Type License Expiration Granted License License Licensure Actions or Number Date Date Name Status Pending Charges Sub-Surface 5218 05/31/2014 06/07/1996 JEFFREY J. ACTIVE None Sewage Installer BEHRMANN Generated on: 7/8/2013 2:25:36 PM https://www.elicense.ct.gov/Lookup/PrintLicenseDetails.aspx?cred=794540&contact=1098... 7/8/2013 Page 1 of 1 McGann, Sherry From: Zarambo, Lauren L. Sent: Wednesday, June 05, 2013 1:01 PM To: Lipe, Michele; McGann, Sherry Subject: 1020 Pleasant Valley Road Hi Michele and Sherry, John Fritz, 1020 Pleasant Valley Road (Appl.13-03W), delivered a set of mylars to be filed and was ready to pay fees for a septic system permit. He would like to know what he needs to do complete his project. Please call John at 860-209-9089. Thanks! The mylars are on the table in Planning. Lauren L Zarambo Planning Department Secretary Town of South Windsor 1540 Sullivan Avenue South Windsor,CT o6o74 86o.644.25n ext 253 6/5/2013 10W N S f4( L O-PS_C!/'1C co y F G U m fi ?d,�T� 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074 SOR,co TELEPHONE (860) 644-2511 February 14, 2013 Rob Hellstrom Land Surveying, LLC P.O. Box 497 Columbia, CT 06237 Dear Mr. Hellstrom: On January 29, 2013, this department received a plan (Rob Hellstrom Land Surveying, LLC, Job #2012-084, Dated January 22, 2013) and septic system permit applications for the properties located at 1020 Pleasant Valley Road and Assessor's Parcel#16-5. Upon initial review of the proposed plan the following items need to be addressed: • A B100a Application (attached) is to be completed and submitted to the health department. This application is required due to the modification of the lot line. • Septic tank sizing details and tank cross-section must be provided on plan for both systems. • Septic design notes for existing home proposed system indicates that 849.5 sq. ft. of effective leaching area will be provided. Actual leaching area provided on plan is 519.2 sq. ft. • An individual plan for new home on building lot #16-5 with all septic system detail is to be submitted to health department at time of application for building permit. Should you have any questions, please do not hesitate to contact me at 860-644-2511, extension 248. Sincerely, .._ S Pe" ann, BS,REHS,HHS E7 nv tal Health Officer cc: Jeffrey Folger, Environmental Planner/Conservation Officer Enclosure 110 N Sf4 r F a slots V&zd'4� w� 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074 SOR cc° TELEPHONE (860) 644 2511 March 20, 2013 Rob Hellstrom Land Surveying, LLC P.O. Box 497 Columbia, CT 06237 Dear Mr. Hellstrom: On March 11, 2013, this department received a revised plan (Rob Hellstrom Land Surveying, LLC, Job #2012-084, Rev. 03-08-13) and 13100 Application for the properties located at 1010 and 1020 Pleasant Valley Road in South Windsor. The revised plan and 13100 application have been approved with the following notations: • Connecticut licensed septic installer is to contact the health department to obtain permits to construct septic system. Installer is to provide a copy of his/her license to the health department. • An individual plan with septic system details for proposed new home located at 1010 Pleasant Valley Road is to be submitted to health department at time of application for building permit. Should you have any questions, please do not hesitate to contact me at 860-644-2511, extension 248. Sincerely, Sherry Mc nn, BS,REHS,HHS Environmental Health Officer cc: Jeffrey Folger, Environmental Planner/Conservation Officer To: Hellstrom Land Surveying LLC 132 Main St Hebron, CT 06248 From: Jeffrey Folger—Environmental Planner/Conservation Officer Date: February 8, 2013 Re: App.#13-03W-Review of the Fritz house lots site plan 1020 Pleasant Valley Rd—Plans dated 01/22/13. I have reviewed the proposed plan with the following initial comments: 1. Soil stockpile areas must be shown on the plan with the appropriate erosion controls. 2. The limit of clearing must be shown on the plans. 3. Any graded slopes must be no greater than 3:1. 4. A soils report must be submitted by a soil scientist. 5. A wetland functions and values report must be submitted by a qualified biologist. 6. The applicant must demonstrate that the proposed plan is the most feasible and prudent alternative to accomplish the purpose of the plan. Alternatives must be discussed including connecting to the sanitary sewer system. CC. Town Engineer Director of Planning Town of South Windsor — Health Department 1640 Sullivan Avenue, South Windsor, CT 06074 Phone: 860-644-2511 ext. 248 Fax: 860-644-7280 APPLICATION FOR APPROVAL TO CONSTRUCT A SUBSURFACE SEWAGE DISPOSAL SYSTEM t� Application/Permit#: i To the Director of Health,Town of A t�CJ SC�- Date: — 2 —/2— Application Irebymade for an approval t construct a sub ur ace sewage disposal system for a: G (Residential Building,Restaurant,Retai uil ' g, tc.) located at: a (Street Address, of Number,Subdivisio ame,Map,Block,Lot,etc.)MAP 1( LOM 0&0 7 4 New System Addition Repair Other Owne�Uwv ��v y Address Tel.No:�— MARL6 0106 H CT &447 Installer Address .. © Tel.No. Install ice e No. In accordance with detailed information stated below: Application fee paid I o.ex-) �C" iNy Signed 044�� (Own or d l) aut ' ed representative) GENERA/IN RMATION ;�ryry � �i Soil Tests Conducted(Date): NOV, 2-0 2z012- Lot size 0 �"T. ��L ,o sq.ft. a Area of Special Concern(Y/N): YES fyes,Reason(s): W TUI ND CRDSS1' (S ' DES16 N Basis of Design(#of Bedrooms,Restaurant Seats,Building Size,etc.): L7A 15T-ING 3 Engineered Plan Required(Y/N):_Y E5 If yes,Name of Engineer: MARk RE-yNOUDSy PE f' Address of Engineer:�YNdLi�S ENG S I1/ LL G 0n 9066 1& LE��N- N CK 0 2-4 Design Plan Approved(Y/N): Date of Approved Plan: Revision Date: Type of Water Supply `ME If well,has location been approved(Y/N): EXIST IN6 Well Driller's Name: Address: OFFICE USE ONLY Approval to Construct issued by: -LAG Date: '7 °I It 3 (Director of flealth or Registered Sanitarian) Signature: ✓ Title: pV 1ke.rr l OA o f Fr.F 1VE D JAN ? ' 2013 SOUTH WINDSOR HEALTH DEPT. Town of South Windsor — Health Department 1640 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�y�v� sfiz Location �Oap p�2a5r,.,J DEEP TEST PIT DATA/SOIL DESCRIPTIONS DATE: 1 k I L (Record all Test Pits) TEST PIT: TEST PIT: TEST PIT:. TEST PIT: Mottles: Mottles: Mottles: Mottles: GW: GW: GW: GW: Ledge: Ledge: Ledge: Led e: Roots: Roots: Roots: Roots: Restrictive: Restrictive: Restrictive: Restrictive: COMMENTS: GROUNDWATER TABLE(Near max.,below max.,etc.): SOIL MOISTURE(High,medium,low,etc.): PERCOLATION TEST DATA DATE: /2 (Record all Perc Tests) PERC: PERC: y PERC: PERC: DEPTH: j DEPTH: t S DEPTH: DEPTH: PRESOAK: 'iv,• PRESOAK: Y es PRESOAK: PRESOAK: TIME READING TIME READING' TIME READING TIME READING :00 H.as Z:�� s•5 ab tO 1X59 7.5 I.y- 15•AS [ :�.9 11.0 02 11 a o PERC PERC PERC PERC RATE: 1C) RATE: )3 3 rgtn i RATE: RATE: COMMENTS: SITE INVESTIGATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM LOCATION DRAWING INCLUDING ALL TEST PITS AND PERCOLATION HOLES �f_ce:c A-o SPECIAL CONDITIONS CONCLUSIONS Design Flow>2000 GPD Suitable for Sewage Disposal 7V .7 -10 12 13 Public Water Supply Watershed Unsuitable for Sewage Disposal -I-b 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: S` c•� (,�U.v�� (Certified local Health Agent or P.E.) Accuracy assured by(If P.E.completed form): (Certified Local Health Agent) Others present for site inv stigation(Engineer,developer,installer etc.): Ca,-,oc w i Site Investigation for a Subsurface Sewage Disposal System Deep Test Pit Data/Soil Descriptions Location: 1020 Pleasant Valley Road, South Windsor, CT Date: 11/20/12 TP #1 Depth:85" GW: 84" (seeps at 42") UNSUITABLE 0-30" Fill Material 30-85" Likely Filled Wetland Soils (containing brick/asphalt) Fine Silt/Clay TP #2 Depth: 85" GW: 84" (seeps at 609') UNSUITABLE 0-30" Fill Material 30-859' Likely Filled Wetland Soils (containing brick/asphalt) Fine Silt/Clay TP #3 Depth: 85 GW: 84" (seeps at 60") UNSUITABLE 0-30" Fill Material 30-85" Likely Filled Wetland Soils (containing brick/asphalt) Fine Silt/Clay TP #4 Depth: 76" GW: 66" UNSUITABLE 0-66" Fill Material Note: Pipe discharging into TP TP #5 Depth: 96" GW: 95" UNSUITABLE 0-36" Fill Material 36-96 Black Wetlands Soil TP 96 Depth: 96" GW: 72 (seeps at 30") UNSUITABLE 0-30 Fill Material 30-96" Black Wetlands Soil TP #7 Depth: 58" GW: 48" Mottles: 22" 0-3" Topsoil w/Organics 3-22" Loamy Sand 22-48" Mottled Fine Sand TP #8 Depth: 60" GW: 59" Mottles: 22" 0-3" Topsoil w/Organics 3-22" Fine Sand 22-28" Mottled,Very Tight Fine Sand 28-59" Medium to Coarse Sand TP #9 Depth: 72" GW: 65" Restrictive: 22" 0-12" Fill Material 12-18" Original Topsoil 18-34" Fine Sand 34-65" Tight Very Fine Sand TP 410 Depth: 84" GW: Seeps at 48" Restrictive: 48" 0-6" Topsoil w/Organics 6-48" Loose Fine Sand 48-72"Firm Fine Sand (possible seasonal high GW table) 72-84" Very Compact Fine Silt TP 11 Depth: 86" GW: Seeps at 48" Mottles: 11" UNSUITABLE 04" Topsoil w/Organics 4-11" Silt Loam 11-86" Mottled, Compact Silt Loam/Clay TP 912 Depth: 89" GW: Seeps at 64" Restrictive: 36" 0-6" Topsoil w/Organics 6-36" Loamy Sand 36-89" Very Compact Silt Loam/Clay TP #13 Depth: 108" GW: N/O Restrictive: 24" 0-8" Topsoil w/Organics 8-24" Fine Sandy Loam 24-56" Compact Fine Sand 56-108"Compact Silt Loam/Clay