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HomeMy WebLinkAboutSeptic New 26 Edgewood Drive P TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System • Application No. 0 70/6 y—/ TO THE BUILDING DEPARTMENT: Date 10/.TutV 19 b� A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: ,,// 1. Owner of Property ldi"t Aiss fti9Q)'jCOi2b Address of Owner SAm1- 2. Location of Property 24y 2bQr:1we3®,b�2o ,Z Lot. No. 2:5-5' 3. Type of Structure �_ u)iLC.la4 No. of Bedrooms 3 (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets a. Urinals m Lavatories ` Bathtubs Showers Kitchen Sinks Laundry Tubs_L Garbage Grinder 40 Other, 0--- 6. Liquid Capacity of Septic Tank ?S4b Material of Septic Tank �C L` 10Al,O",b 7. Soil Conditions: Type of Soil 9 t, Maximum ground water table (Sand,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well from adjacent wells 9. Distance to nearest water course, drainage ditch, storm drain or embankment 10. Percolation Tests: Time for 1" drop in soil test 3 FYI o Z cA S Classification of soil 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches f �2,gb Length 3o Width 8 Total Other J.�uSTALLATtoZ ©0 tom►®ate To R—si?L.At - A/ZoICCZ J%A#10FLS_ Signature Ql..I� 04- A 2-4A (Licensed Installer) (Sketch showing all minimum distances and other details required below) L —S �r Z i ��sG�woo� st Permit Issued ©/ t%tLrLy _194t By Installation Completed, Inspeccted and Approved OP t 19 h-9 By