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HomeMy WebLinkAbout2015-4-29 - 2063 John Fitch Boulevard - Site Investigation for Sewage Disposal§b \’pAk/ wK/\\ LA \@§%/41 N z N (/\//’11’//adxN/r q UK W Um [Aw ~w aw €\M\l\§ O)wQyV . ~x/O 0J6 (bL/‘LLM ”At (a w QMV 3‘{LM mas;/‘ H“ @ (0%“ ‘MAQ/CM?)0 l x dwW“W W A I g 6 J 1 F bHo TOLLM/Wow/Ly zobs MK 7 W 1w:'Sow , 7,0 93 ‘QMN‘W qb Pmbxn3‘mé/gyr MWAHM [Wa¢&§v;,;,VvwLbmwmww,7 (a L L;L WWNM*(Max/LL Z (/Mpti.[§&LW(IA§Wm vkLb‘u‘Qé,5(oM-Lmhwm9mm ‘JQMDUV emknb &WMQ/im ,, U00 \OUm/W/ \Hvykma kmact f—ar w M 7 6/Qa/k \rfoq). ‘w\i i §k WV€ 3b\/\b\ QJk Cwy/ N ,rwlAMN 44‘bwk Lax/LL ”H MU 5'80°iwd’S Premier Sewer and Drains 155 West Main St Suite 124Vernon.CT 06066 (860)871 -9943 ekneifei9@comcast.net §NVO¥CE 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‘ l H ‘Z 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 Z§ S 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)“"' \W\W”y J (‘muse lOamA Wyn) 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% l K 4S“l “it r)sod sb"l \[\Rr Mlih A (MW ’lQ‘Vrtdj“M / \AVOWW [om/Uta loam/1 "Ml 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% i l l’w O S o i lllMAKiVigwnhc‘lb WM Xx \w'kw \rWW‘ i CaMNy mil 0mm Hand Form #2 Altemate (Cont'd) ES Technical Standards for Subsurface Sewage Disposal Systems 1/1/15 Special Conditions Location Drawing <€4 "L a ux 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% L tl'L xv \I’5¢1 l 1M“b OW WV“<[H/é’t4 l UMY‘A b )t D QM” 'J reg/J 3&1 gUAMA/étmk 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: 7,0 as 35W 9W wx my w?)bHZ \mégu/Syd/‘\’J [mp/{xx \oQo §£m3yf LOU £“L‘rx3 CWVS svmdc ba/ \.(QM (/LK Z ~@m&CW)CWtMVW Wm 14>\{VUL C€KUpH0n7BW04/63w Z.Tm’r Mb lQzAgS R/Pma/ejk Z VWU{ g .VMLQQ 7;’Q~m$5VJ/f-Rm I (Lew/we.VAU WexxwU,\Vww/(X 2; S‘WvQU o/CT WWW/