HomeMy WebLinkAboutSeptic New 89 Edgewood Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System ?V/
Application No.
TO THE BUILDING DEPARTMENT: Date__ 6 1 19 to 6
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
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1. Owner of Property_�.��- .-r�Q Address of Owner � 1�lS �' �� r
2. Location of Proper Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,Commercia uilding,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 2_ Urinals 6 Lavatories Bathtubs _
Showers_ Kitchen Sinks�L Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank d d P 51 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
12. Leaching System: Number of trenches, Length. Width Z L Total 3 /
Other
Signature
(Licensed Instane•)
(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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,.= FOR BUILDING PUWO=t?N�
PROPERTY OF
NO . EDGEWOOD DRIVE SOUTH WINDSOF , CONN .
. Being Lot No . 362 on map entitled " Subdivision of Section VI1 of
PLEASANT VALLEY ESTATEj South Windsor, Conn . Scale I " = 6( ' O"
July 23, 1063 by Primus V Welti , Engrs .''
HAYDEN L . GRISWOLD C. E .