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Home My WebLink AboutSeptic New 38 Main Street New Town of South Windsor — Health Department 1540 Sullivan Avenue South Windsor, y' ti > CT 06074 'Nino .�oNa`v Phone: 860-644-2511 ext. 248 Fax: 860-644-7280 PERMIT TO DISCHARGE Approval is hereby given to William Andrulat, in accordance with Public Health Code Section 19-13- B103e(h)to discharge to a subsurface sewage disposal system located at 38 Main St. 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 se tic s stem malfunction or failure it must be addressed. Exceptions(Repairs Only): File Information: Construction Permit No. 201401818. Approved as-built on file(Y/N) Y. Date of Final Inspection: 1/2/15 Inspected By: Heather Oatis,Environmental Health Specialist Permit Issuance: Issued by: itle: (Director of Mth or Registered S arian) Signature: -44..-3 Date:el,,r/ �� Town of SouthMindsor - Wealth Department 1640 Sullivan Avenue, South in or, CT -06074 Phone. 860-644-251`1.ext:2.48 .Faxs 860-644-7280 4PPLICATIOAF F`Qlt APPROVAL TO CDI�TSTRUCT A SUBSURFACE SEWAG)(;DISPOSAL SYS'T1ElGf. ._ ApplicationNrtn 0; 14 VA 9.1 To the Dtrectot.of Health;.Town bf s X 2i G' -- r�?'A epU it : Date Applicati :is hereby made far an approval to constrict a subsufface.sewage disposal system for ; :: • .; {Residential Building,:Restaurant,Retail Building,etc) located at: (Street Actress,)<.ut Netmber,Sul�divisiori.Narne;IVlap,Bloch Lot:eta.) New System = Addigon : lzopaiur Other owner A ln�riV 4� Address TaL Of. Installers dresS fuuSi C Tel.No. License'Tn:' In accordance with detailed imformationstatedhelow. Application fee paid .' Stgned.. {Owner or:duly authorized representative) GENERAL INFORMATION Soil Tests Conducted(Date): ... Lot size• §q8 . .::... : Area of Special Concern(Y/N) fyes;.Reaso` s.._ s) Basis of Design(#.ofBedroorns;Restaurant Seats Build' Size,etc:)•• :.;'.:: . _� . E iiieered Plan R aired.,. �. ed. (Y � If of Engineer.. yes;Name. '`. Address of Engineer: - Design Flan Approved(Y/N) Date of Approved flan: Revision Date: Type of Water Supply If well,has location.been appr"oved WeU Drlller's Name Address: OFFICE USE ONLY: Approval to Constiruct issued.by;.` Date: . .(Director of Health or Registered Sanitarian) Signature: Title' 4ere Town of South Windsor — Health Department W 1540 Sullivan Avenue, South Windsor, CT 06074-2786 •�auRcp°'��` 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): William R.Andrulat STREET ADDRESS: 38 Main Street TOWN: South Windsor INSTALLER: James Throwe CT. LIC# 3856 EXPIRES: 5/31/15 RESIDENTIAL: #of Bedrooms-3 INSTRUCTIONS FOR INSTALLER 1. 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. 2. Any NEW sewage disposal system must conform to ALL requirements of Section 19-13-DI03 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, (Pudeler Engineering, Dated 03/20/2009). 2. Licensed Engineer to field stake 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 minimum1,000 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 cleanauts. 7. Install 495 square feet of effective leaching area, consisting of three rows, 55 feet long, of 36"wide trenches. S. 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. SIGNATURE� Q. DATE ISSUED: 12122114 RENEWAL:_!! APPROVED BY: Heather Oatis EXPIRES: 12122115 EXPIRES:I I THIS PERMIT IS VALID FOR A PERIOD OF ONE YEAR FROM DATE OF ISSUE. IN ACCORDANCE WITH THE CT PUBLIC HEALTH CODE SECTION 1$-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 CASH DATE PAID:12118114 µt°W"6 � Town of South Windsor — Health Department ' 1540 Sullivan Avenue, South Windsor, CT 06074 R:Co Phone: 860-644-2611 ext. 248 Fax: 860-644-7280 CHECK LIST REVIEW OF PLAN OF SEWAGE DISPOSAL SYSTEM Owner Location 0 I f IT n Date Received Z 1 C Plan prepared by �1�a,� Q L, —Title , Address Zo k U v' Installer i+M_ AaLu-e License# Investigated by at'Cl S Date l Z� Z z Benchmark Location\DtkW_U y\ ,n`��c (6/p Elevation 12 . 13 Design Percolation Rate L 1 'M wn bkvitt,\ _ Mins/inch at hole(s) If residential, number of bedrooms If non-residential,estimated daily flow HOUSE SEWER(INVERT LEVELS) Depth at foundation wall Z y Z Depth at septic tank Z� • 3 SEPTIC TANK Cleanout located ft.from and ft.from Manufacturer Size 1800 gals. Depth to Cleanout a� Q,0Y\ Reviewed/inspected by ��d� S Title f y1y PLAN/INSTALLATION APPROVED DATE ILI • 7,M Print Lookup Details Page 1 of 1 State of Connecticut Lookup Detail View Name Name JAMES E THROWE License Information lookup License Type License Expiration Granted License License Licensure Actions or Number Date . Date Name Status Pending Charges Sub-Surface Sewage 3856 05/31/2015 12103/1990 JAMES E. ACTIVE None Installer THROWE Generated on: 12/22/2014 9:53:15 AM https://www.elicense.ct.gov/Lookup/PrintLicenseDetails.aspx?cred=794145&contact=29... 12/22/2014