HomeMy WebLinkAboutSeptic Repair 2579 Ellington Road 0',
seq<. Town of South Windsor — Health Department
'd 1640 Sullivan Avenue, South Windsor, CT 06074
Phone: 860-644-2511 ext. 248 Fax: 860-644-7280
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PERMIT TO DISCHARGE
Approval is hereby given to Brian and Carin Faraci, in accordance with Public Health Code Section 19-
13-B103e(h)to discharge to a subsurface sewage disposal system located at
2579 Ellington Rd.
in the town of South Windsor, CT that will receive domestic sewage from a:
Residential building containing 4 bedrooms. Single family(Y/N):Y.
Restaurant containing seats.
Commercial/Office building providing square feet.
Other structure as described:
Design Flow= 600 gallons per day. Permitted Flow=600 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 400 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 septic system malfunction or
failure it must be addressed.
Exceptions(Repairs Only):
File Information:Construction Permit No.201501176. Approved as-built on file(Y/N) Y.
Date of Final Inspection: 8/31/15 Inspected By: Heather Oatis,Environmental Health Specialist
Permit Issuance: Issued by: G .¢G . o�fcJ.9�zF2 xir Title: ,f•p,
(Director o h or Registered Sanit ian)
Signature: Date: /
James Throwe 8602822684 p.1
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/ Form#3 Technical Standards for Subsurface Sewage Disposal Systems
Application/Permit#: Zfj`S, `l I
9 3 Final Inspection Report
Local Health Department:
Property Owner: COLA VN d(�G_h rnAA CA
Property Address: Tq (�• -4sr1 . Town: t j i y-\ L cJ✓
Licensed Installer: 1 M !IhAwc License#: (�
Approved Plan Information
Check one: New System Repair/Replacement System �✓
Residential Building: bedrooms Lar e Tub: YES O Garbage Disposal: YES
Non residential Buildin esidential Institution: GPD
Plan Prepared by: Title:
Plan Approved by: Date:
Approval to Construct
Date Permit Issued: f l i 1 t ie Permit Issued by: tZ
Registered Sanitarian or Director of Health
Inspection Information
Licensed Installer
Type II Date Present? Yes/No Comments
Field Stake Inspection(house, 12�� S SLAS�tVVN k" �>t
well,property lines,system etc.) S
Strip/Scarification
Sieve requi {Yet o)
Select Fill Placement �
Other:
Final Inspection ✓� , .�
Was 24 Hour(min)Installer Notice Given(Y/N): Date Final Inspection Requested:
rr ll Date of As-Built (�
Final Inspection Completed by: V S A roval:
Permit to Discharge Issued by: Date:
Registered Sanitarian or Director of Health
FORM 93(Cont'd) Technical Standards for Subsurface Sewage Disposal Systems l/l/11
Final Inspection Report
Housee`Sewer Information
Pipe Type and ASTM Specification: t 1 Pipe Size: in.
Pipe Invert Elevations at: Pipe Length: ft.
ti.
Foundation Wall: I g Pitch Required:
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Septic Tank: Pitch Provided: 1
f Tank Information
S tic Tank Size: 1 Z Gallons Tank Inlet Elevation:
Tank Manufacturer: (�A(I S Tank Outlet Elevation: �-
Date Manufactured: 1 1` Riser Needed(YIN):
Outlet FilterType/Manufacturer:
Pump Chamber
Size: Gallons Pump Alarm Chec d
Pump Chamber
Manufacturer: Float Control Elevation Verified
Grease Interceptor Grease Interceptor Tank
Tank Size: Gallons Manufacturer:
Leaching System Information �(
Approved Aggregate: Free of silt dirt and debris(Y/N): Sieve Required(Y/N): l
Filter Fabric Present(Y/N) Type: fkf44 Aggregate Meets PHC Specifications(Y/N): Y
Select Fill(Y/N): Meets PHC Specifications(Y/N) Sieve Information on File(Y/N):
Leaching System Description(product,size,length,number of rows,level or serial etc.);
Effective Leaching Area Required: q U0 sq. ft. Reserve Area Provided(N/A,Y/N)
Effective Leaching Area Provided: ()0 sq.ft. Center to Center Spacing: ft
System Installed Per Approved Plan Elevations(YN): Elevations Field Verified(YN):
Elevation notes: I aD Iv, w4a 4� iLk -'
Separation Distances
Separation Distances Conform with Approved Plan(Y/N):��
Separation Distances Field Verified(Y/N): 1l
PUG-27-2015 14:47 From:DESIATO SAND 8609295436 To:8602918979 P.1/1
�•uIIull0 ,IMUR ATI-Willlrlaatic 860-423-4438, p.02
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MATERJALSTESTING, INC.
55 LAURA STREET.-NEW MAVEN,CONNBCTICUT 06312*(2t)3)458-5216
42 BOSTON POST ROAD•WILLIMANTIC,CONNECTICUT 06216• (660)42.3-1972
DATE: 06.23-15
REPORT: M 11L8 ;
CLIENT: De4pic,Sand&Gravel
999 Stafford Road
Storrs,CT 06260
PROJECT: Client's Information
SVBJECT: WASHED NAL -114 STM C•93 • �, i
Material: Concrete Sand
Source: 8 De isto a+,s d and C►'avel;8brrs, CT •���,:r�'"� •�4`•r--�.. I
SMpled: by dient and delivered to MTI on 6/10115
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Gleve'Sibe percent Passing ASTM"3
100 100 `
#4(4.75mm) 99 95-100
riS(2,36mm) 81 80-100
' #1 t'i {t,18mm) 58 5U•$$
#30(600pm) 37 25.60
#64(3001tm) 16 10-30
#100(150Nm) 4 2-10
0200(75umy 1,i 0-3
fineness Modulus 3.0 2.3-3.1
This mak ial as samplad And delivered meets the Bated speciilcatlon, j
Materlals Testing,Inc.
Richard C. Kearns
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William J. Sovoy
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T�stMonr#rw,M'"np Vow ma,p."0* wwwmtrdrmmq.Fa RECEIVED
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AUG 2 6 2015
SOUTH WINDSOR
HEALTH DEPT,
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n° °*p��- — Health Department
Town of South Windsor
'O c 1540 Sullivan Avenue, South Windsor, CT 06074
Phone: 860-644-2511 ext. 250 Fax: 860-644-7280
APPLICATION FOR APPROVAL TO CONSTRUCT A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Application/Permit#:
To the Director of Health,Town of: Date: Lac" IS
Application is hereby made for an approval to construct a subsurface sewage disposal system for a:
rlpz 0 IJI&4 1
(Residential Building,Restaurant,Retail Building,etc.)
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located at: ' 7 1 ^ f,1,te r' I�j
(Street Address,Lot Number, Subdivision Name,Map,Block,Lot,etc.)
New System Addition Repair Other
Owner t V �'t ' Address Tel.No.� c)
f
Installer Val s"-!U 4 Address _I + :: Te1.No.74e 211e,)0
Installer License No.�?} �
In accordance with detailed information stated below:
Application fee paid Ito Signedl$ L, 7ZI
Owner or.duly authorized representative)
----------------------------------------------------------------------------V-------------------------------------------------------
ll GENERAL INFORMATION
Soil Tests Conducted(Date): !� 1 Lot size hut
Area of Special Concern(YIN): f yes,Reason(s):
Basis of Design(#of Bedrooms,Restaurant Seats,Building Size,etc.): 4
Engineered Plan Required(Y/N): If yes,Name of Engineer:
Address of Engineer:
Design Plan Approved(Y/N):_\ Date of Approved Plan:_JJL31 Revision Date:
Type of Water Supply � 1 t - If well,has location been approved(Y/N):
Well Driller's Name: !y l Address:
OFFICE USE ONLY
Approval to Construct issued by: Date:
(Director of Health or Registered Sanitarian)
Signature: Title:
Print Lookup Details Page I 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 3656 06/31/2016 12/03/1990 JAMES E. ACTIVE None
Installer THROWE
Generated on: 8/25/2015 9:22:23 AM
https://www.elicense.ct.gov/Lookup/PrintLicenseDetails.aspx?cred=794145&contact=298... 8/25/2015
Town of South Windsor — Health Departmen
'. 1540 Sullivan Avenue, South Windsor, CT 06074-2786
x��:yoSOR�o��wv 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): Brian&Carin Farad
STREET ADDRESS: 2579 Ellington Rd. TOWN:South Windsor
INSTALLER: James Throwe CT. LIC# 3856 EXPIRES: 05/31/2016
RESIDENTIAL: #of Bedrooms-4
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 PROPERTYLINES, WELLS,
and BURIED UTILITYLEVES 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, (dames Throwe, Dated: 8/13115).
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 1,250 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 900 square feet of effective leaching area, consisting of one row 45 feet long and one row of 40 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 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.
6. Current Sieve analysis(within 30 days)for sand fill must be submitted o the South Heealfl1- epa men . --
7. Max depth into original grade is not to exceed twenty four(24) 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 septic system to be properl abandoned.
SIGNATURE: �� DATE ISSUED: 8125115 RENEWAL: I I
APPROVED BY: Dr.Gerald Schwartz, Director of Health EXPIRES: 8/25/16 EXPIRES:II
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:10.00 CASH CHECK NIA DATE PAID:8125115