HomeMy WebLinkAboutSeptic New 168 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 — 1 ` 19 wo J5
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted
1. Owner of P/rloopperty Address of caner �'
2. Location of Prope y Lot. No. z l
3. Type of Structure w No. of Bedrooms_
(Delling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets " s Urinals 51 Lavatorle '2--.o Bathtubs
Showers Kitchen Sinks�Z Laundry Tubs /s Garbage Grinder IV Other
6. Liquid Capacity of Septic Tank Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
and,Gra el,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
12. Leaching System: Number of trenches Z Length Width Z Total
Other /
Signature- l
Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
•art � �I�
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FOR BUILDING PURPOSES ONLY
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PROPERTY OF
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NO . i:I)GEWOOD DRIVE SOUTH WIXDSOR, CON' ;t
Being Lot No . 321 on map entitled "Subdivision of Section VII of F ;j
PLEASANT VALLEY IE,STAMS South Windsor, Conn. Scale 1 '' = 60 ' 0" }
July 23, 1963 by Primus Welti; En rs . " '
Scale 1 " = 60 ' y
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HAYDEN L, ORISWOLD C .E . ti