HomeMy WebLinkAboutSeptic New 124 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
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: ``// n/��
1. Owner of Property L�i:t/l32� Addressccof Ow,nerl ,7T,e m ,& �ylt�Qav2/
2. Location of Property t C�G� L�2 �O �„(��Zl � Lot. No.
3. Type of Structure No. of Bedrooms 3
(Dwells ,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals a Lavatories oZ Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan 4O0 Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table CP
(San ,-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
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches 3 Length /� ° Width/ Z 2 Total
Other
Signature T /J 4' —
(%Acensed 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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04 J�,
PROPE!:TY (IF
EDGE'irOOP D� I V E SOUTH ►r I ND60R , CONN
Be i nq Lot No . 325 on mafi ent i t I ed " Sul) 'i v i s i On of Section VII
of PLErk3HNL VALLEY EST/ATES youth V indsor, Conn . :kale 1 " = 60'0"
July 23, Ifa63 try Primus g.-- "",elti Egrs."
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HAYnEN L. GP I S'WOLD C . E.
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