HomeMy WebLinkAboutSeptic New 116 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: Dat C=J 19�
A permit is requested for repair or co
�A:ilstruction of an individual sewage disposal system concerning which the
following information is submitted: $TAidLE1 Li eFE�.aF�6
1. Owner of Property , Address of Owner. 44f �� • W li1°l
2. Location of Property ot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,Co mercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets C-2— Urinals Lavatories c-2— Bathtubs
Showers / Kitchen Sinks / Laundry Tubs_ Garbage Grinder Other
6. Liquid Capacity of Septic Tank 46,00 qQ. Material of Septic Tank
7. Soil Conditions: Type of Soil 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 r Classification of soil A OZ
11. Minimum square feet of effective seepage area required
,5� 3
12. Leaching System: Number of trenches Length Width Total
Other
Signature
(TAcensed 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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PROPERTY OF
FOR BUILDING ^PURPOSES ONLY
NO,o�b EDGEWOOD DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 326 on map entitled "Subdivis-ion -of Section VI1
,'. of PLEASANT VALLEY ESTATES South Wind4wor, Conn Scale 11 _ 60, "
Ju I y 23, 1963 by Primus We It i Enwf.s.
Scale 1" = 60'
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AoGvsT- 19, 1' 6 5'
k HAYDEN L. GRISWOLD C.E.
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