HomeMy WebLinkAbout2011-6-20 - 245 Barber Hill Road - Septic Soil TestSane r;�{
Town of South Windsor — Health Department
1540 Sullivan Avenue, South Windsor, CT 06074-2786
Jr'r-•N �� Phone: 860-644-2511 ext. 248 Fax: 860-644-7280
SITE INVESTIGATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Application[Permit #:
Property Owners �� D_A , Location a4A� 6ar1ixf- R{ 11 O'L' l
DEEP TEST PIT DATAISOIL DESCRIPTIONS
DATE: (Record all Test Pits)
TEST PIT:
TEST PIT:
TEST PIT:
TEST PIT:
Mottles: N
Mottles:
Mottles:
Mottles:
GW: osz,i
GW:
GW:
GW:
Ledge: M
Ledge:
Ledge:
Ledge:
Roots: !R r•,..j,o 3"
Roots:
Roots:
Roots:
Restrictive: 1 pg
Restrictive:
Restrictive:
Restrictive:
COMMENTS: SCIA
GROUNDWATER TABLE (Near max., below max., etc.):���
SOIL MOISTURE (High, medium, low, etc.):
PERCOLATION TEST DATA
DATE: 2'A o (Record all Perc Tests)
PERC: CG
PERC:
PERC:
PERC:
DEPTH:'r'$0'' "
DEPTH:
DEPTH:
DEPTH:
PRESOAK: N
PRESOAK:
PRESOAK:
PRESOAK:
TIME
READING
TIME
READING
TIME
READING
TIME
READING
V . S-`I
„
I �s9
�•7S"
2 uyc%
11 5
2 H
13•S
2 �Ci
PERC /
PERC
PERC
PERC
RATE: b '
RATE:
RATE:
RATE:
COMMENTS:
SCANNED
SITE INVESTIGATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
LOCATION DRAWING INCLUDING ALL TEST PITS AND PERCOLATION HOLES
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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
Form completed by:
QjCertified Li�§ql 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.):