HomeMy WebLinkAbout2015-4-29 - 2063 John Fitch Boulevard - Site Investigation for Sewage Disposal§b
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Premier Sewer and Drains
155 West Main St Suite 124Vernon.CT 06066
(860)871 -9943
ekneifei9@comcast.net
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BILL TO
Biu TeMer2063John Fitch 8msWindmr,Ct 0mm
1NVOICE #1780
DATE 95/20I201 5
DUE DATE $6l19/201 5
TERMS Net 30
5A€¥WWY
service Date
05f“!4/1 5
Job Addrem
Servioe Call
Camera and located 5 $eptic iines eaving the DBox
All £ines intact and working
First 3 Iines are 25ft
Last two are 5 ft
Nai§§UNT
0.00
0‘00
200.00
BALANCE QUE $200.00
Thank you for using Premie¥Sewer and Drains‘
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Form #2 Alternate Technical Standards for Subsurface Sewage Disposal Systems 1/1/15
SITE INVESTIGATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Location:lo W)HAM Wm QsmA la/Ldl ’§Weather:q 0 I;g L4“W L
Percent Slope:Parent Material:Date:L“1Q“f Time:10
i
Completed by:Accuracy Assured by (if P.E.completed form):
P.E.or Certified Local Health Agent
Others Present for Site Investigation:@wxkm CM/t Seam WW Rom!9m»O ww/
Certifled Local Health Agent
as
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Test Pit #z 4 QR \Depth to Observed Ground-Water (inches):k Weepmg:\Standing:‘\Observed Ledge:\
Soil
Horizon
Depth
(inches)
Matrix Color
(moist)
Redoximorphic Features Soil Texture (USDA)Gravel
Percent
Soil
Consistence Roots OtherDepthColor%”l \\b l?t vi lso"”TN «1‘53 "have VOL gawi l Wt)“"'
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Test Pit #:5’Depth to Observed Ground-Water (inches):Weeping:Standing:Observed Ledge:
Soil
Horizon
Depth
(inches)
Matrix Color
(moist)
Redoximorphic Features Soil Texture (U SDA)Gravel
Percent
Soil
Consistence Roots OtherDepthColor%
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Test Pit #z \g Depth to Observed Ground-Water (inches):Weeping:Standing:Observed Ledge:
Soil
Horizon
Depth
(inches)
Matrix Color
(moist)
Redoximorphic Features Soil Texture (USDA)Gravel
Percent
Soil
Consistence Roots OtherDepthColor%
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Form #2 Altemate (Cont'd)
ES
Technical Standards for Subsurface Sewage Disposal Systems 1/1/15
Special Conditions Location Drawing
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Design Flow >2000 GPD
Public Water Supply Watershed
Probable High Ground Water
Slope >25 Percent
Perc Rate <l min/inch
Perc Rate >30 min/inch
Ledge <5 feet Below Grade
Limited Suitable Area
Open Watercourse or Wetland 2‘
4w are?4
Flood Plain/Seasonal Flooding
G.W.<36 inches Below Grade
Conclusions
Suitable for Sewage Disposal
Unsuitable for Sewage Disposal
Additional Investigation Required
Wet Season Monitoring Required
Retest During Wet Season
Licensed Engineer Plan Required Design Requirements:
Other:
Percolation Test Data
PERC:PERC:PERC:PERC:
DEPTH:DEPTH:DEPTH:DEPTH:
PRESOAK:PRESOAK:PRESOAK:PRESOAK:
TIME READING TIME READING TIME READING TIME READING
PERC
RATE:
PERC
RATE:
PERC
RATE:
PERC
RATE:
If g goxcrf ®w cw
Fonn #2 Alternate Technical Standards for Subsurface Sewage Disposal Systems
SITE INVESTIGATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Locatio n:7,0 b}>0\/\lx\(AVE/a “\bé Weather:
Percent Slope:Parent Material:Date:Time:
Completed by:Accuracy Assured by (ifP.E.completed form):
ZIL
1/1/15
Others Present for Site Investigation:
(installer)Developer,P.E.,etc.)
ZS
P.E.or Certified Local Health Agent Certified Local Health Agent
Test Pit #:3’Depth to Observed Ground-Water (inches):Weeping:Standing:Observed Ledge:
Soil
Horizon
Depth
(inches)
Matrix Color
(moist)
Redoximorphic Features Soil Texture (USDA)Gravel
Percent
Soil
Consistence Roots OtherDepthColor%
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Test Pit #:Depth to Observed Ground-Water (inches):Weeping:Standing:Observed Ledge:
Soil
Horizon
Depth
(inches)
Matrix Color
(moist)
Redoximorphic Features Soil Texture (USDA)Gravel
Percent
Soil
Consistence Roots OtherDepthColor%
Test Pit #:Depth to Observed Ground-Water (inches):Weeping:Standing:Observed Ledge:
Soil
Horizon
Depth
(inches)
Matrix Color
(moist)
Redoximorphic Features Soil Texture (USDA)Gravel
Percent
Soil
Consistence Roots OtherDepthColor%
Form #2 Alternate (Cont'd)1/1/15TechnicalStandardsforSubsurfaceSewageDisposalSystems
ES
Special Conditions Location Drawing
Design Flow >2000 GPD
Public Water Supply Watershed
Probable High Ground Water
Slope >25 Percent
Perc Rate <1 min/inch
Perc Rate >30 min/inch
Ledge <5 feet Below Grade
Limited Suitable Area
Open Watercourse or Wetland
Flood Plain/Seasonal Flooding
G.W.<36 inches Below Grade
Conclusions
Suitable for Sewage Disposal
Unsuitable for Sewage Disposal
Additional Investigation Required
Wet Season Monitoring Required
Retest During Wet Season
Licensed Engineer Plan Required Design Requirements:
Other:
Percolation Test Data
PERC:PERC:PERC:PERC:
DEPTH:DEPTH:DEPTH:DEPTH:
PRESOAK:PRESOAK:PRESOAK:PRESOAK:
TIME READING TIME READING TIME READING TIME READING
PERC
RATE:
PERC
RATE:
PERC
RATE:
PERC
RATE:
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