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HomeMy WebLinkAboutApproved Design 95 John Fitch Boulevard (2) Town of South Windsor — Health Department 1540 Sullivan Ave., South Windsor, CT 06074— Mailing Address 1530 Sullivan Ave., South Windsor, CT 06074—Office Address Phone Number: (860) 337-6173. Fax Number: (860) 644-1930 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): McGuire Road Associates, LLC STREET ADDRESS: 95 John Fitch Boulevard TOWN: South Windsor INSTALLER: Mark Koss, Koss Construction CT. LIC# 5226 EXPIRES: RETAIL BUILDING: Hartford Truck Equipment 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 engineered plan, (Design Professionals Dated: 03/01/2017). 2. Licensed Installer to field stake 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. A bottom of excavation inspection is required. Existing topsoil, fill material, and 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. New 2,000 gallon two compartment septic tank, HS-20 Rated, with an approved outlet filter to be installed 7. Install 1142.4 square feet of effective leaching area, consisting of 3 rows, 56 feet long, of 4' wide by 8" high concrete HS-20 rated gallery units, surrounded by a foot of approved stone aggregate with a d-box in the middle and ends of galleries connected with 4" approved PVC. Approved stone aggregate shall meet the No. 4 stone aggregate gradation. 8. Middle leaching row to be provided with HS-20 rated access cover to grade. 9. Contractor shall take precautions during the installation of the system to protect the excavated areas from collecting sediment discharges from the site and prohibit compaction in the area of the leaching system. 10. MLSS need not be considered, receiving soil depth >60". 11. 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. 12. Installer to complete and submit septic system as built plan and drawing with ties to the building. 13. Existing se tic system to be o rly abandoned SIGNATURE: DATE ISSUED: 04/10/2017 RENEWAL: 1 1 APPROVED BY: Diane L. Collelo, REHSIRS EXPIRES: 04/10/2018 EXPIRES: 1 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)(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: 20.00 CHECK# DATE PAID:417117