HomeMy WebLinkAbout2009-5-27 - 179 Newberry Road - Septic Application and PlanTOWN OF SOUTH WINDSOR
HEALTH DEPARTMENT
Application for permit to install a new/repair subsurface sewage disposal system.To the Heaith Department,
i7“?NE idgg/z/z y it?§0u774 WI ND,and owned by m iC /’/€L4 ‘54 l/‘Z 27/
i7 ‘7 N’Etv§€/Z/?‘/k»$Z'J(NDJ’JKStreet,Address,Lot Number Name
Address
Information to be supplied by Applicant:
Type of dwelling .If non-residentiai,estimated daily flow
Numberofbedrooms 3 Size of lot
Number of fixtures above basement
Tubs,Sinks,Toilets,Etc.
Number of fixtures in basement,ifany
Pumped or gravity How,
Type ofwatersupply .If private,type ofwell
ResidentiaL Commercial‘Etc.
ublic-rivate
Information to be supplied by Health Department:
Number of dry wells,trenches,etc..Distance between individual leaching
units.Distance from well on same property on adjoining property
Curtain drain required
Height of system above ground water ,maximum ground water
ledge ,impervious soil layer
If automatic closing is required,description
Ves,No
I
A PLOT PLAN INDICATING LOCATION OF PROPOSED STRUCTURE,WATER SUPPLY,SEPTIC SYSTEM,EM-
BANKMENTS,WATERCOURSES,PROPERTY LINES AND ALSO INDICATING EXISTING AND PROPOSED
FINISHED GRADES MUST BE SUBMITTED BEFORE THIS PERMIT CAN BE ISSUED.
THIS PERMIT IS NOT TRANSFERRABLE FROM PERSON TO PERSON OR FROM PLACE TO PLACE.
NO PART OF THE SYSTEM SHALL BE BACKFILLED UNTIL IT HAS BEEN INSPECTED AND APPROVED BY THE
SANITARIAN.
SPECIFICATION AND REQUIREMENTS AS STATED IN THIS PERMIT MUST BE MET AND ANY CHANGES MUST
BE APPROVED BY THE TOWN SANITARIAN BEFORE FINAL APPROVAL WILL BE GIVEN.
THIS PERMIT SHALL NOT BE CONSTRUED AS PERMISSION TO CREATE A NUISANCE CONDITION NOR IS
THIS SYSTEM GUARANTEED BY THEj.HEALTH DEPARTMENT.6761?}.STWpc.£‘E‘7z wc a“,7
3"2 7i»07‘Permit Received by Date
I ygnatureof Applicant &License Number
For Office Use Only
Permit issued by Date 6’;27 79%)ISysteminstalledby
Final Inspection Approval Date
l
Town of South Windsor.
Fee Paid Date $3.271}?PermitNumber
As a subsurface sewage disposal system installer licensed in the State of Connecticut,i
farm w/iLkér/é 19.0.Ems 2—6??7(-2552.
Name,Address,TeiephoneNumber,
21¢;
License Number
hereby apply for a permit to construct/repair a subsurface sewage disposai system located at
Soil type atvarious levels
Percolation rate I *10 .Square feet of effective leaching area required 4;Ci 3"
Size of septic tank (004?Type of system W f7 NW5 44 3c ‘-A:/ZV"/Ai L'zifz f’
Trenches,Drywells,Etc.
BEK2EX2889 88:28 8E88?58428 SKIP'S PMSE B2x’64
$EPTIC SYSTEM As—BUILT PLAN
Ua.)ar Date '1‘4 o7StreetAddress&Town
Permit Number
New Septic System 1f Repair of Saptic System
Number of Bedrooms 3 or Design Flow of Budding
Type of system installed:€rlw [WMHLM /l”m-u¢r+g0 /anj
(eg stone trenches Intittrators gallenes
Alteration of System
ISquarefootageafsystem:Total legglh $0 'Width Bo
Effective Area 5'50 3‘6.l
Capacity of Tank Tank:New §Existing
Length of house sewer pipe t''fMinimumdistancebetweenseptictankandfoundationS
I
Minimum distance between leaching iield and foundation Z g
Minimum distance between sewage system and nearest well l/A
Public water supply &
Minimum distance between leaching system and property boundary I 0
Curtain drain required?IV A '
Minimum distance from leaching system to draine 25't
(curtain,toundation,storm water,etc)
BE/2Ee’2889 88:28 8688758428 SKIP'S PAGE 83f84
SEPTlc SYSTEM As-BUILT PLAN (CON’T)
Address !7q NWLWV;)Zé"57¢Date é’lj’ai
8M7-Location of System eida of house
(N.S.E.W.,front,back)
Draft a substantidly correct draWing showing separation diatances of septic system instattation.include all
of the following infor‘rnation to provide an accurate record of the entire system tocation:
At feast two sides of the building nearest the syetem,septic tank;house sewer.distribution boxes,trench
ends,dry wells,curtain drain,potable water supply wells'and any other features affecting the syetem and
its location.
Instatler’s Name @wvya g'Wéj ‘Séif’5-
inserteesAddrass a?7 maul/7 gz’mi m
r (street,city,state,zip code)
License it
aw--
t
”3b
“InUW
Revised 7l26l07
.h
‘.‘
h \¢+)
‘)M$c”ow
\
i‘
?'
@ v
o4
‘tv'%
@g
an
Mark
"L"
g P-'‘25:.)1”aw A,11¢“Mails 4w)'
V;’Za¢\\e’r
3V qé.¢.y ‘l Au
"[hwy hkk
-$0!é Liv.
[I 'Point #1 #2
35""
“w
wn
#4 #5 #6 #7 #3 #9 #10
[07’2"3y 5-?5'?/JDIetsncefromcomer'A"n n 3"?!I
Dtswncatmmcomera 3!'-iq-N 33'1”qLrgu ’00:”!5.“!gL ”iv”.
Dietance from comer “C“.
Distance from corner ”D"
BEJ2EX2889 88:28 8688?58428 SKIP'S P’QGE 842’84
MATERIALS TESTING,INC.
55 LAURA STREET 'NEW HAVEN,CONNECTICUT 06512 '(203)468-5216‘h‘Nl:871 STAFFORD ROAD 'EAGLEVILLE,CONNECTICUT 06268 ‘(860)487-1972
NVLAP #0320
Spaclflc scope Accredited DE:AT 05—12-09
w.REPORT:M4044
CLIENTf n t
wDesiato Sand &Gravel‘"9§§:SKta‘fford Road
Storrs,”CT 06268
PROJECT:.Clie‘nt‘slnformation l
SUBJECTL'WASHED SIEVE ANALXSIS (ASTM C-1 36,D4140)
"M§ierial:Sand
Source:Desiato Sand &Grave).Mansfield.CT
Sampled by:and delivered by client 5/1 1/09,r7?V€déerw_S‘,w Z
This material as sampled and delivered meets the Iisted specification.
not be rauraducea‘Wi'lnduf axwW-DErmlsalan of Matarlala Testing inc TM mporls musl nol be med lo cl-ilm praducl anaememenl by NVLAP or any agency cl me.s,Fnvcmmegi.'.u-Ji mam;nnly mlnlnjnaiema'i'c'mnd.NVLAP acmdned {Dr m wow}:mm gf mmdmon ”my Lgb Code
'100320..,
.‘-
W“midawlVNK...wrr'“
m“[T
Sieve Size Percent Passing Project Specification
3A"(19mm)100 100
#4 (4.75mm)97.0 50-100
#10 (2.0mm)88.7
#20 (8500m)71.2
#40 (42Epm)43.9 25-100
#1 00 (1SOum)8.9
#200 (75pm)2.6 0-10
Materials Testing,inc.Richard C.Kearns
iiN’i‘I
William .J.S cy
Clia‘ht M'”
we???”
”Ml-bag};‘
'i
PAGE@5f21f288‘3 B3'24 3588?58428 KIP'SlIJili1l1‘‘l l "—Ih—E—f_m-“"'E i '
l Ji
.i §J_f!1%l$izPJm£tsvyxm ’72:{AWL 'Pizamlmg Fm /’7‘9:L MaligE/aéi
_J_i 'IZJD J wi—Ha LbJraL _$_)_L’{dw~£kt mml-mkat _tiléy 25J_1 i i 1 5
g1 i L_i_!L 1
L‘i Egg-AH ChmézzwL i 3 \glé ‘I [Pr/:oipé‘mk K 7%?kw
L I,¢z£$77JL/&77‘v€g
i I i l g
%Ts_f'w L I {__Ml i I
‘L_gI
J i §2£Qu}aéa ;/O &O 1 . JLo1rJ u 5wluxé ‘L 49a 5%Ema E j:
"g—gy‘—e;v-
8‘?32‘
i .
5 §3 l1l
!1"
.1l x’[1 il l i i L'
L-..i 1 1iIEa2:a £$g VNJ7l7?LL '
$£P77&9mm;can»:J 4i"lo%WML éawjel
J/éod GJQLLaJ
xapkzbuw—I Auévmd
2 é”;#é7fw£~%#Vdzqzk . »:5€/2&4J5 J}0%
dwm
L73]AJ/7tH/inwmwk}\
#430 AO Law-”4
Ll $i2?’tulLiLJLs
1
i)Lgaxi 7v;
L
lzl
lwnu.emwi I
13k
L
bah
£._..!
4?l6,“L W l—kxbmbd
#PMJ/hkibl 4*CWA’Péb iapF 217‘!{kgLum/é 7%0Jv'wauMQM/abc
i 1 .,T1 I
,i !hi;5a-...w4LL‘WW 1m%Qilm £5 aJ/m és #vz%
s l k7JmfSl Admugb #92‘l I i §‘
M l mm1
...........‘4 p xzLc mJa-mi Ls’bgks
_
_i ~@FIWEwbY.l L.i i
;:"i ”i mu A "
L ..i y'w i _"-..73%:w/d'LkEk‘i “l H._,I;C_#’09”?
~f i
i i V i ‘1.‘i I g r3?I
u
‘
I J 1;ix...L
l
A x0ilkk;/U%w}:_
i..
w \s).‘g‘l
1
l i.u.I .,__,‘'...,1
:l r"‘g I
J“,
I
J ‘
.I\J J ‘J J”1 J J ,"J 1WgwKaM/‘éVJ Ky.-
J._’J 'z ’J“i é J .J J
Town 0f South WindSOr
CTown:k wu f/7 Wm/Wfl/
lNVESTIGATlON FOR SEWAGE DISPOSAL SYSTEM
Owner‘Date:3i V—a ‘7‘
Location:/7‘7 'l/ébUMI/M Kvvlé/Soil Tests Observed By
PERCOLATION TESTS (7
Hole#Pit#Hole#Pit TestPit Depth
Presoak hours Presoak hours Ledge Seepage
Depth Mark Depth Mark Mottling Roots
(ML W
wrv
s /7 7 7aKfwi’”w
t3 m W//
Depth Observation
Rate min/in Rate min/in
TestPIt Depth
Ledge Seepag
Mottlmg A/t Roots ,g 3
TestPit Depth
Ledge Seepage
Mottting Roots
Depth Observation Depth Observation
l)“§’73P 30/I,
5 “01 77 /’%L
97 "/UY f’wv?S/¢M§{ytmggd/
Property Locati on /7?[/éw gywv//?&
LOCATION DRAWING
Special Conditions Conclusions
System design larger than 2,000 g.p.d.Suitable for sewage disposal
Water supply watershed
Possible seasonal high groundwaterWatercourse,marsh or pondPossibleseasonalflooding
Limited suitable area
Excessive slope (over 25%)
Marginal soil (less than 5 ft)
Shallow ledge (less than 5 ft)
Underlying tight soil (less than 4 ft)
Other
Unsuitable for sewage disposal
Additional investigation required
Retest during wet season
Monitor groundwater thru wet season
Engineer’s plan required
Testing For:New Lot /System Repair/B100a /Other
Desrgn recommendations
%
Va/wW
Km a QgqL wy wee §WA/
r W)¢»/dmwa %M/WM MUM/7r \Mi/LU€/
ar/Mam“7a w/nd /Z ()4 é/‘rmé E 4 j/e +z¥ru
investigated by
i*§/t/
/&ZA//c wade éP/w3M 2%LML’MM baa/740k WPM/u Ai 2M4r¢(a 6€§aéml #fa 7?W/W/‘rué‘7ZL/é/7zwo
d/éo/L éXt§wvCi ‘(ma/é (U/b 7L/dw -WiltVW/§a#@‘lQmHhtxLtéka (wwx bu CO/y
Title
Date ‘~%&?
/w a #z