HomeMy WebLinkAbout736 North King Street (3) APPROVED
TOWN OF SOUTH WINDSOR
HEALTH DEPARTMENT i
DATE^^ --I
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RECEIVED
A05 2 8 2017 ��J
SO.1 i ri ,INDSOR _
HEALTh DEPT. S' ,�/ 17
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): Castanho&Cloutier Development, LLC
STREET ADDRESS: 736 North King St. TOWN: South Windsor
INSTALLER: James Throwe CT. LIC# 3856 EXPIRES: 5/31/18
RESIDENTIAL: #of Bedrooms - `
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, (James Throwe, Dated: 7/10/15).
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 square feet of effective leaching area, consisting of two rows 50 feet long of Mantis 536-8 units, bedded
on the bottom and sides with sand fill meeting both the manufacturer's and select fill specifications. System to be
1 Apo , installed per manufacturer's specifications. Systems with total cover that exceeds eighteen (18) inches as
measured from the top of the units to finished grade shall be vented at the distal (far) end of the system.
5. Current Sieve analysis (within 30 days) for sand fill must be submitted to the South Windsor Health Department.
6. Max depth into original grade is not to exceed thirty one (31) inches.
7. 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.
8 Installer to complete and submit septic system as built plan and drawing with ties to the house.
9 Existing short section of septic system to be properly abandoned.
SIGNATURE: V a-Y DATE ISSUED: 611 ) RENEWAL:_I_I
APPROVED BY: Heather Oatis, REHS, HHS EXPIRES: (F1 l 3, 11? EXPIRES:_/_/
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 Due CHECK N#8757 DATE PAID: 7/11117
AUG-23-2017 09:03 From:DESIATO SAND e604295436 To:86028226e4 P.1/1
MATERIALSTESTING, INC.
(�y 55.LAURA STREET-NEW MAVEN,CONNECTICUT 06512-(203)468-5216 j
Mesta 42 BOSTON POST ROAD-WILLIM-4,N77C,CONNECTICUT 06226-(860)423.1972
DATE: 07-1.4-17
REPORT: M-1468
CLIENT: Deslato Sand&Gravel
999 Stafford Road
Storrs, CT 06268
PROJCCT: Client's Information
SUBJECT: WASHEp SI�,yE ANALYSIS (ASTM C-13t3 C-117)
Material; Sand for Septic
Source: Desteto Sand and Gravel, Storrs, CT
Sampled: by client and aenvered to MTI on 7113/17
Steve Size Percent Passing Mantis Was►swular Leaching
System Speoltleatl an
3/a•'(9.5mm) 100 100
#4(4-75mm) 97 95-100
0(2.36mm) 82 80-100
#16(1.18mm). 60 '50-E5
#30(600pm) 39 25-60
#50(300Nm) 18 5-30
9100(150Prn) 4 0-10
#200 (75pm) 0.0 .0-6
This material as sampled and delivered meets the listed specification.
RECEIVED MateNals Testing, Inc.
Richard C. Kearns
AUG 2 4 2017
f
SOUTH WINDSOR William J.Soucy
HEALTH DEPT.
1cc: Client
Oft� i
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1' 1 f f 11111 N I1t„``
STATE OF CONNECTICUT
DEPARTMENT OF PUBLIC HEALTH
Dannel P. Malloy
Governor
Raul Pino, M.D., M.P.H. ;�, Nancy Wyman
Commissioner Lt. Governor
Environmental Health Section
NOTICE OF EXCEPTION
An exception is hereby granted to the requirements of Section 19-13-B103d(d) of the
Connecticut Public Health Code for a CENTRAL SUBSURFACE SEWAGE DISPOSAL
SYSTEM serving a SINGLE FAMILY HOUSE and a DETACHED APARTMENT located at
736 NORTH KING STREET in the Town of SOUTH WINDSOR, CT. A central system has
been found to be technically preferable for the following reasons:
1. The central system shall provide for an improved distribution and treatment of sewage
effluent.
2. Wastewater that is not"sewage" as defined in Section 19-13-B103b (a) of the Connecticut
Public Health Code shall not be discharged to the sewage disposal system.
3. The installation shall be inspected and approved by the local health department.
Recorded at the Department of Public Health, Hartford, Connecticut.
2617
erriga Date
Sanitary En iningineering
III
Environmen Program RECEIVED
AUG ?4 ZP"
SOUTH
HEALTH DEPT,
:1)
D 410 Phone: (860) 509-7296 • Fax: (860) 509-7295
Capitol Avenue,MS#12SEW,P.O. Box 340308
Hartford,Connecticut 06134-0308
Connecticut Department www.ct.gov/dph
of Public Health
Affirmative Action/Equal Opportunity Employer
State of Connecticut, Department of Public Health
Central Sewage System Exception Application
To: Environmental Engineering Program Date: 3 ( cA I')
Department of Public Health 1
410 Capitol Ave., MS# 51SEW Local Health Department: so w; nC!(la ►�
P.O. Box 340308
Hartford, CT 06134-0308 Mailing Address: Ut Uar\
Attn: kq y\ q Phone Number: ( g'lo o > 3 V) - b 11 3
Email Address:
Property Owner Name: -V aynh, 4C1 vtn't; ,/ %t"�Q„ey,\,, ,LZC.
Property Address: Town: So„tk(k �nu f
Building 1 Description: S ,�� �y htJW�t beA w o•n,k�1 t Z , S Qai'h,N o'er
(example:singl -family residential building,office building,restaurant,etc.)
Building 2 Description: 'tr_ `�,,,,� h /�F ` CA t ����h
(example: garage aork,hop with 1/2 bath, 1-hednwni guest room,pool house cabana,office building,etc.)
Building floor plans reviewed to confirm the layout is consistent with basis of design? DES
' NO
Water supply and sewer connections shown on plan for buildings served? YES NO
Public Health Code Section 19-13-B 100a(B 100a) compliance demonstrated(if applicable)? YES /NO
Connection to New, Repair or Existing subsurTaee sewage disposal system (SSDS)'? I jj- }7Q r{�A� YeA
If the connection is to an 1-\i�ting SSDS, fill in the follov.ing: �t
Approximate age of SSDS: (SIC ftowrn As-built on file? YES /NO
Septic tank size (gallons): k f-yo Two compartment septic tank? � .S NO
Date of the most recent septic tank pump-out: S( Z W) Septic tank material type: (UY1 C to �2
Leaching system description: (t4ifVJvA4-1, �-�,e
Any problems or deficiencies noted with t e septic tank or leaching system? YE /NO
Comments: S u s-f M l AYE 6J f s:2�el
LVad vs-dr, 1\OAJNc ' 1 DU' 01 A Y, �i s S 3 b- -hv V-Lc Ad d'd 4-b ,n&u+
t C, fLea
Documentation Submitted:
Soil Test Data
B 100a compliance plan/sketch, if applicable
Central system plan with design information showing buildings, wells, property lines, SSDS, etc.
Plan prepared by: Plan reviewed by: �twyj/ OCAki S I f nU• k (Ajc k �l(pi
Pro l«.Ional Engineer (Print Name and Title)
Licensed Installer ] '
Other: Signature: A��1 U�f ( a(
rev.7/12
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
tt11 r Application/Permit#;
To the Director of Health,Town of: Date: /0 Ju/ 1 7
Application is hereby made for an approval to construct a subsurface sewage disposal system for a:
pe
(R sidential Building,/Restaurant,Retail Building,etc.)
located at 73C Aj-, X k.114 S�
(Street Address,Lol Number,Subdivision Name,Map,Block,Lot,etc.)
New System / Addition Repair IV Other
Owner(Ic�J��/�F,S 11�i 1 D Address Tel.No.
Installer Vei &umy,7& dot U..IIC•Address Tel.No.?,OZ�Sc'°�S
Installer License No. •SC
In accordance with detailed information stated below:
Application fee paidl10 't�W_7 5 1 Signed
(Owner or duly authorized representative)
GENERAL INFORMATION
Soil Tests Conducted(Date): List sizeArea of Special Concern(Y/N): Al f yes,Reason(s): �
Basis of Design(#of Bedrooms,Restaurant Seats,Building Size,etc.):)/0 '43'wf,-N
Engineered Plan Required(Y/N): Al If yes,Name of kngineer:
Address of Engineer:
Design Plan Approved(Y/N): Date of Approved Plan: Revision Date:
Type of Water SuI)I)ly Ml,L- If well,has location been approved(Y/N):
Well Driller's Name: IV( A Address:
OFFICE USE ONLY
Approval to Construct issued by: ODater I
in
(Director of Health or Registered Sanitarian)
Signature: Title: ��U' t CO
C
� ly �
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pA. D-Bc�jc (Yl o.x a .
"20 m p7 is ' _ �� �A RECEIVED
JUL 1 12017
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SOUTH WINDSOR
d 6 per"hr y HEALTH DEPT.
to jui L7
Town of South Windsor — Health Department
1530 Sullivan Avenue, South Windsor, CT 06074
Phone Number: (860) 337-6173, Fax Number: (860) 644-1930
SITE INVESTIGATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Property Owner: Castanho&Cloutier, LLC Location: _736 North King Street
DEEP TEST PIT DATA_ /SOIL DESCRIPTIONS
DATE:_7/7/2017 (Record all Test Pits)
TEST PIT: I TEST PIT: TEST PIT: TEST PIT:
Total Depth: 61"
0-18": Topsoil sparse fine
roots
18"-24": Fine Loam,silty, Lt.
yellow brown
24"-36": Fine Loam, Drk
Brown
36"-61": Fine sand,silty
Mottles: very faint 49" Mottles: Mottles: Mottles:
GW: N/O GW: GW: GW:
Ledge: N/O Ledge: Ledge: Ledge:
Roots:N/O Roots: Roots: Roots:
Restrictive: 31" Restrictive: Restrictive: Restrictive:
COMMENTS: Light Rain at time of pit and perc tests
GROUNDWATER TABLE(Near max.,below max.,etc.):
SOIL MOISTURE(High, medium, low, etc.):
PERCOLATION TEST DATA
DATE: 7/7/2017 (Record all Pere Tests)
PERC: IS PERC: PERC: PERC:
DEPTH: 31 " DEPTH: DEPTH: DEPTH:
PRESOAK: 9:45 PRESOAK: PRESOAK: PRESOAK:
TIME READING TIME READING TIME READING TIME READING
10:17 0
10:22 3"
10:27 4.5"
10:32 5.75"
10:42 7.25"
10:52 9"
11:02 11"
11:12 Empty
PERC PERC PERC PERC
RATE: 6 min/in RATE: RATE: RATE:
COMMENTS:
SITE INVESTIGATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
LOCATION DRAWING INCLUDING ALL TEST PITS AND PERCOLATION HOLES
SPECIAL CONDITIONS CONCLUSIONS
Design Flow> 2000 GPD Suitable for Sewage Disposal
Public Water Supply Watershed Unsuitable for Sewage Disposal
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
Current leaching system is one 30 foot perforated pie and one 50 foot perforated pipe. surrounded by stone. Current
system indadequate to sustain 5 bedroom house and 1 bedroom In Law house on central system. Current leaching system
only provides 240 sq. ft.ELA (825 sq feet required)and 80 feet of MLSS(144 sq. feet required).
Form completed by: Diane L. Collelo, REHS/RS
(Certified Local Health Agent or P.E.)
Accuracy assured by(If P.E. completed form):
(Certified Local Health Agent)
Others present for site investigation(Engineer,developer, installer etc.):
James Throwe Vans Septic
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7/11/2017 Print Lookup Details
State of Connecticut
Lookup Detail View
Name
Name
JAMES E THROWE
License Information
lookup
License Expiration Granted License License Licensure Actions or
License Type Number Date Date Name Status Pending Charges
Sub-Surface 3856 05/31/2018 12/03/1990 JAMES E. ACTIVE None
Sewage Installer THROWE
Generated on: 7/11/2017 9:58:35 AM
https://www.elicense.ct.gov/Lookup/PrintLicenseDetails.aspx?cred=794145&contact=298586 1/1
/� WAS vgP
Town of South Windsor — Health Department
'O _= 1540 Sullivan Ave., South Windsor, CT 06074— Mailing Address
1530 Sullivan Ave., South Windsor, CT 06074—Office Address
^•'��..,R, �' Phone Number: (860) 337-6173, Fax Number: (860) 644-1930
DESIGN RECOMMENDATIONS FOR REPAIR OF SEWAGE DISPOSAL SYSTEM
DATE: July 7, 2017
PROPERTY OWNER(S): Castanho & Cloutier
STREET ADDRESS: 736 North King Street, South Windsor
RESIDENTIAL (# of Bedrooms): 6, Proposed Centralized System
SEPTIC TANK: Appears to be 1500 gallon, 2 compartment tank. Risers installed to grade. No outlet baffle
observed.
LEACHING SYSTEM: 825 square feet of effective leaching area required.
Minimum Leaching System Spread (MLSS) 48*2.5*1.2= 144 ft. required.
SPECIFIC INSTRUCTIONS:
1. Permit application to be completed and permit fees to be paid in full at time of application submission.
2. Installer's construction plot plan (drawn to scale) to be submitted and approved by this office prior to
issuance of permit to construct.
3. Plot plan must indicate location of proposed structure, water supply, septic system, embankments,
watercourses, property lines, and existing and proposed finished grades. Benchmark to be set and indicated
on plan. Note on plan that existing septic system is to be properly abandoned. Wells on adjacent properties
must be located and verified to meet minimum separating distances with proposed septic system (in
accordance with Table 1 of Connecticut Technical Standards for Subsurface Sewage Disposal Systems). If
adjacent properties are served by public water it must be noted on plan.
4. Install outlet baffle on current septic tank.
5. Submit design plan to CT DPH SSDS for Centralized System Approval.
SIGNATURE. Oal,
� C N'f DATE: —) 110 1 17