HomeMy WebLinkAboutSeptic Repair 376 Deming Street .°WN Seq< Town of South Windsor — Health Department
1540 Sullivan Ave., South Windsor, CT 06074- Mailing Address
1530 Sullivan Ave., South Windsor, CT 06074- Office Address
°5"R-`'"� Phone Number: (860) 337-6173, Fax Number: (860) 644-1930
PERMIT TO DISCHARGE
Approval is hereby given to �1 Qi/ek 01 c. N) P Xno-k+ ,in accordance with Public
(Property Owner)
Health Code Section 19-13-B103e(h)to discharge to a subsurface sewage disposal system located at
3`fib Dem i rx� $�1 .
(Stree ddress)
in the town of SO�A4d,4 k n L,t✓ ,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= LA P gallons per day. Permitted Flow= 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 ?aC>y 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) q . 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)� . 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. Approved as-built on file(Y/N) 1
Date of Final Inspection: _�1It4l(6 - Inspected By:
Permit Issuance: Issued by / O(AS,e NS Title: C VXU• Q-'rr-A'LPK
irector of Health or Registered Sanitarian) I
Signature: v ( ' Date: r l(3 ki.
Town of South Windsor — Health Department
1640 Sullivan Avenue, South Windsor, CT 06074
Phone: 860-644-2611 ext. 248 Fax: 860-644-7280 �,,t CQ
Subsurface Sewage Disposal System Final Inspection Report
Property Owner: A 1/Permit#
Property Address: 1 0 't j1 Town: SD Lacv�
IJ
Licensed Installer: License#:
Approved Plan Information
Check one: New System Repair/Replacement System
Residential Building: 3 bedrooms Large Tub: YES NO Garba e Disposal: YES NO
Non residential Building/Residential Institution: GPD
Plan Prepared by: Title:
Plan Approved by: Date:
Approval to Construct
Date Permit Issued: Permit Issued by:
Registered Sanitarian or Director of Health
Inspection Information
Licensed Installer
Type Date Present? Yes/No Comments
Field Stake Inspection(house, J j Z y Z 5
well,property lines,system etc.)
Strip/Scarification
31 � (L L�
Sieve required(Yes/No)
Select Fill Placement
Other:
Z�Final Inspection ` `
Was 24 Hour(min)Installer Notice Given(Y/N) ✓ Date Final Inspection Requested: (Z,1(b
�^ Date of As-Built
Final Inspection Completed by: l .�/1 S Approval:. .
Permit to Discharge Issued by: Date:
(Registered Sanitarian or Director of Health)
7/zol/(.
Septic Repair For: Derek McDermott 376 Deming St South Windsor 860-729-2015
Design Criteria: 3 bedrooms, 1-10 minute perc rate, private drilled well, restrictive at 23" [mottling], max
depth into grade 5"-- MLSS- measure from top of 12" unit to restrictive 30" +23" = 53" x.5 =26.6 @ 4.8%
slope = 54'
Proposed: 1500 gallon, 2 compartment, concrete tank with tuff-tite filter, 38' of 6"sch 40 pvc inlet pipe at 1%
slope; 54' of mantis 536-8 with 6" invert 351 sf and 54' of 4' x 1' pipe and stone 162 sf ttl ela = 513 sf;
leachfield installed in are of test pits sieve analysis will be provided for select and c-33 sand, requesting a
variance to install portion of leachfield 18'from downgrade property line.All other separating distances will
be met. Trenches will be staked with offsets and a permanent benchmark provided
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Designed By: H.Thomas Walker Jr. Skips Wastewater Services 21 Courtney Drive Ellington CT License: 2247
n n6 ->
Town of South Windsor — Health Department
.' 1540 Sullivan Avenue, South Windsor, CT 06074-2786
'`NasQA.CoN�� 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): Derek McDermott
STREET ADDRESS: 376 Deming Street TOWN:South Windsor
INSTALLER: Thomas Walker CT. LIC# 2247 EXPIRES: 7/31/17
RESIDENTIAL: #of Bedrooms- 3
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 UTILITY LINES 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, (H. Thomas Walker, Jr; Dated : 07/20/16).
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 1,500.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 516 square feet of effective leaching area, consisting of one row 54 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 and 54 feet of
4'x1' pipe and stone. 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. A variance shall be granted to reduce the downgradient property line separation distance from 25 feet to 18 feet.
7. Current Sieve analysis(within 30 days)for sand fill must be submitted to the South Windsor Health Department.
8. Max depth into original grade is not to exceed five(5)inches.
9. 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.
10. Installer to complete and submit septic system as built plan and drawing with ties to the house.
11. Existing
t septic system to be properly abandoned.
SIGNATURE:`'1�.t ,C" DATE ISSUED: 8/17/16 RENEWAL:J 1
APPROVED BY: Heather Oatis, BS,REHS,HHS EXPIRES: 8/17/17 EXPIRES:—1
THIS PERMIT IS VALID FOR A PERIOD OF ONE YEAR FROM DATE OF ISSUE, IN ACCORDANCE WITH THE CT PUBLIC HEALTH CODE
SECTION 19-13-8103e(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 CHECK#2751 DATE PAID:818116
Town of South Windsor — Health Department
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: N0t.c-7_H tb'114PSOA, Date: 7
Application is hereby made for an approval to construct a subsurface sewage disposal system for a:
(Residential BuiIdin.g,Restaurant,Retail Building,etc.)
located at: 3`7G 2>C M/.,jG .57— 5-,
(Street Address,Lot Number,Subdivision Name,Map,Block,Lot,etc.)
New System Addition Repair X Other
Owner 2>1 l27'/c /1��D�2McrT Address -77L• Tel.No. '5f�0--W' L 90/'S
Installer•�7,Lt `,(,y7kkS-1Z- Address Z/ C'(Y?x1Zr&C'1 3)Z Tel.No. [oU 3 > �. F(tiic�-7� c365
15fr;03` 6JA-57t 6✓19 ,le- �tG�/riC-,-,Z,N
Installer License No. 2 Z 4 17
7
In accordance with detailed information stated below:
Application fee paid Signed [/—
(Owker or duly authorized representative)
-------------------------------------------------------------------------------------------------------------------------------------
'' ll GENERAL INFORMATION
Soil Tests Conducted(Date): "l I f} ((4 Lot size_
Area of Special Concern(Y/N): l If yes,Reason(s): CS
Basis of Design(#of Bedrooms,Restaurant Seats,Building Size,etc.): e d�
Engineered Plan Required(Y/N): ►" If yes,Name of Engineer:
Address of Engineer:
Design Plan Approved(Y/N):_4___Date of Approved Plan: Revision Date:
Type of Water SupplyAAg It If well,has location been approved(Y/N): i
Well Driller's Name: l A Address:
OFFICE USE ONLY
Approval to Construct issued by: tLeAA�"_f/ O H J Date: IN n W.
(Director of Health or Registered Sanitarian)
Signature: a�s Title: C kj�U " U���