HomeMy WebLinkAboutSeptic New 152 Edgewood Drive A !,
TOWN OV 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-6 — 6 - 19
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 Pro pert A dress of Owner 7
2. Location of Proper t. No. 22 9
3. Type of Structure No. of Bedrooms
(Dwellin ,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatores_3 Bathtubs_
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan 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 Classification of soil
11. Minimum square feet of effective seepage area required V/
12. Leaching System: Number of trenches ---e Length ZU Width z lZ Total
Other
Signatur oe
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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603
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PROPERTY OF F� SUVOIAG
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NO, EDGEWOOD DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 323 on map entitled "Subdivision of Section VII of
PLEASANT VALLEY ESTATES South Windsor, Conn. Scale I" 60' 0"
.July 23, 1963 by Primus '& Welti , Engrs"
Scale 1 " 60•
HAYDEN L. GRISWOLD C. E.
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