HomeMy WebLinkAbout178 Chapel ROad Town of South Windsor — Health Department
•41 . 1540 Sullivan Ave., South Windsor, CT 06074— Mailing Address
1530 Sullivan Ave., South Windsor, CT 06074—Office Address
Phone Number: (8601 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): Jessica Magalhaes
STREET ADDRESS: 178 Chapel Road TOWN: South Windsor
INSTALLER: Skip's Wastewater CT. LIC# 5839
RESIDENTIAL: #of Bedrooms-2
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, (Skip's Wastewater, Dated: 3/29/17).
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 1,000 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.
5. Install a 1000 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.
6. Install 375 square feet of effective leaching area, consisting of a single row 54 feet long, of Infiltrator Quick 4
Standard, bedded on the bottom and sides with sand fill meeting both the manufacturer's and select fill
specifications. System to be installed per manufacturer's specifications. Current Sieve analysis (within 30 days)
for sand fill must be submitted to the South Windsor Health Department.
7. Max depth into original grade is not to exceed twelve (12) inches.
8. 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.
9. Installer to complete and submit septic system as built plan and drawing with ties to the house,
10. Existing senfic system to be pr erly a�ndoned.
SIGNATURE: Q _L/ , DATE ISSUED: 04/04/2017 RENEWAL: 1 1
APPROVED B : Diane L. Cofelo, RSIREHS " EXPIRES: 04/04/2018 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 19.13-6103e(F)(I). 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# 3403 DATE PAID:04103/2017