HomeMy WebLinkAboutSeptic New 106 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.
TO THE BUILDING DEPARTMENT: Date. / 19 6�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is sub 'tted:
1. Owner of Property dress of 0.4vner <
2. Location of Prope Lot. No.3
3. Type of Structure No. of Bedrooms_
(Dwelling,Cordmercial Building,Store,e )
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 2® Urinals Lavatories �2— Bathtubs
Showers� Kitchen Sinks ` Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank dal AL
,L
7. Soil Conditions: Type of Soil Maximum ground water table
( ,Pftd,Gravel,y ay,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
12. Leaching System: Number of trenches Length_ Width /® f Total ;Z7/
Other
Signature
censed 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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