HomeMy WebLinkAboutSeptic New 88 Edgewood Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System ?
Application No. 1
TO THE BUILDING DEPARTMENT: Date. 6 ( 19��
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: �f /J
1. Owner of Property �.�-v.^- ��' Ltd Address of Owner � `k M a
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2. Location of Property Lot. No.. 3
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3. Type of Structure No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals 10 Lavatories _ Bathtubs
Showers Kitchen Sinks
s Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /Z-1�0 Material of Septic Tank y
7. Soil Conditions: Type of Soil 4-4 Maximum ground water table_ —f— �
(Sand,Grav 1,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 Classification of soil
11. Minimum square feet of effective seepage area required �f
12. Leaching System: Number of trenches` Length Z Width �^�L Total
Other �f
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required'below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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FOR BUILDING PURPOSES
Fc ko lot No . 74 on wap mt irlod ` ui i \ i ion of Section V11 of
1'I_EASINi t Ai 1 F Y I . T \TF . south " i ndnor , Conn . ale I "
.'ulr 23. 1 "63 by Primu" t " Iti , Emirs . "
Scale I „ 6c ' _ 7 -
HAYDEN L . W K'WOLD M .