HomeMy WebLinkAboutSeptic Repair 5615 Ellington Road Town of South Windsor -- Health Department
1540 Sullivan Avenue, South Windsor, CT 06074-2786
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Phone: 860-644-2511 ext. 248 Fax: 860-644-7280
DESIGN RECOMMENDATIONS FOR REPAIR OF SEWAGE DISPOSAL SYSTEM
PROPERTY OWNER(S): Luthfa Jilu
STREET ADDRESS: 2615 Ellington Road, South Windsor
RESIDENTIAL (#of Bedrooms): 4
SEPTIC TANK: Install 1,000 gallon two-compartment septic tank with approved outlet filter. (Tank sizing
requirement increases if house has a garbage grinder or a large tub)
LEACHING SYSTEM: 660 square feet of effective leaching area required.
System is to be designed with a maximum depth into original grade of twenty five (25) inches.
Minimum Leaching System Spread must be addressed.
SPECIFIC INSTRUCTIONS:
I. 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.
SIGNATURE: DATE: 3a
1
sow■■rt ..� Town of South Windsor — Health Department
1540 Sullivan Avenue, South Windsor, CT 06074
as�e•C Phone: 860-644-2511 ext.248 Fax: 860-644-7280
SITE INVESTIGATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Application/Permit#:
Property Owner Lu x*- �� Location 1_
DEEP TEST PIT DATA/SOIL DESCRIPTIO S
DATE: 4 0 30 \l (Record all Test Pits)
TEST PIT: i TEST PIT: TEST PIT: TEST PIT:
0 1 1 '—roJ so,i
hurt ji\��
'Z2-tl-�NC�rr,v�l�,.11 fk��Cir.
11
Mottles: tv I u Mottles: Mottles: Mottles:
GW: GW: GW: GW:
Ledge: N 10 Ledge: Ledge: Ledge:
Roots: `' Roots: Roots: Roots:
Restrictive: 3" Restrictive: Restrictive: Restrictive:
COMMENTS: ` w r,
GROUNDWATER TABLE(Near max.,below max.,etc.):
SOIL MOISTURE(High,medium,low,etc.):
PERCOLATION TEST DATA
DATE: I 30 (Record all Pero Tests)
PERC: PERC: PERC: PERC:
DEPTH: Hoi, DEPTH: DEPTH: DEPTH:
PRESOAK: PRESOAK: PRESOAK: PRESOAK:
TIME READING TIME READING TIME READING TIME READING
1 � � 11 11•� `
ILi.�''
:0
PERC PERC PERC PERC
RATE: I RATE: I RATE: J RATE:
COMMENTS:
SITE INVESTIGATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
LOCATION DRAWING INCLUDING ALL TEST PITS AND PERCOLATION HOLES
EB
S
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
Slo e>25 ercent Wet Season Monitoring.R '.d
Pere Rate<1 min/inch Retest-During Wet Season
Perc Rate>50 mWinch 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 ode
DESIGN RECOMMENDATIONS/COMMENTS
Form completed by: v�
(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.):