HomeMy WebLinkAboutApplication 178 Chapel Road �° °"' °;•<� 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
APPLICATION FOR APPROVAL TO CONSTRUCT A SUBSURFACE SEWAGE DISPOSAL SYSTEM
/ l Application/Permit#:
To the Director of Health,Town ,,f: J o �'^ W ��sw Date: 3 z- '7
Application is hereby made for an approval to construct a subsurface sewage disposal system for a:
(Residential Buildin Restaurant,Retail Building,etc.)
located at: •iJel 17
(Str et Address,Lot Number,Subdivision Name,Map,Block,Lot,etc.)
New System �/f Addition_ Repair Other
Owner Jrss,<< A //I e s Address /7 f �h./�� "' Tel.No.
Installer J(/./�5 / s'euRTCr Address L t °�� ^� D/ Tel.No.
Installer License No.
In accordance with detailed information stated below:
Application fee paid Signed
(Owner or duly authorized rep esentative)
-------------------------------------------------------------------------------------------------------------------------------------
GENERAL INFORMATION
Soil Tests Conducted(Date): 3o y Lot size sq.ft.
Area of Special Concern (Y/N): f yes,Reason(s):
Basis of Design(#of Bedrooms,Restaurant Seats,Building Size,etc.): Z r?<<�r
Engineered Plan Required(Y/N): /U` If yes,Name of Engineer:
Address of Engineer:
Design Plan Approved(Y/N): n Date of Approved Plan: Revision Date:
Type of Water Supply �' '✓/ �/e // If well,has location been approved(V110:
Well Driller's Name: Address:
OFFICE U ON
Approval to Construct issue `by: / v Date:
irector of He or Registered Sunitu an)
Signature: Title: //L b' Ov-_S
RECE11 D
APR 0 3 2017
SOUTH WINDSOR
HEALTH DEPT.
Jessica Magalhaes `\
178 Chapel Rd 9s.000 97.60
South Windsor CT 151+ TP3
a 5 50'
Design Criteria:
�C N E \
2 Bedroom house, 1-10min/in perc, 30" o M
restrictive layer, 3.5% slope N d D Perc 2 \
MLSS- 30x1.Ox1.2=36' f n \
\
\
BM o \\
Proposed: 100.00 0 7' \
TP2
Install a new 1000 gallon septic tank
and a new 1000 gallon pump chamber Silt Fence
with a 1/3hp effluent pump with an 8.00
p97.60
9
alarm.
Install 2-54' rows of Quick Fours with 2"sch40 pvc o
stone for a total of 388sgft.Trench
bottoms to be 12" into grade max and fp.
installed in select septic sand.
All topsoil will be removed prior to filling
with select sand. .�' O 1000 Gallon Pump Chamber
All separating distances will be met. slope 3.596
O •1000 Gallon Tank
o Risers to grade
4"sch40 pvc
1/4"per ft
RECEIVED
t = 0 i 2017
SOUTH WWNDSOR
HEALTH DEPT. Cc Deck
#178
2 Bdrm
Driveway
Plan By:
Andrew Coleman Well
Skips Wastewater Services Inc
Lic# 5839
178 Chapel Rd
South Windsor
Riser Above Grade
Pump Chamber Detail
Union
Meyers ME3F11 1/3hp Effluent Pump
7"Tether, 20gal/inch, 140 Gal/Dose
1
ep
H le
m
C7
0
Check Valve
Alarm Alarm Float
Pump On m
Stop/Start Float
Pump Off
RECEIVED
�,po 0 1 2017
SOUTH WINDSOR
FILTH DEFT.