HomeMy WebLinkAboutSeptic New 97 Edgewood Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System 9�
Application No.
TO THE BUILDING DEPARTMENT: Date_ j— 3 19�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property�c Address of Owner_ 7
2. Location of Propert97 �C/ d Lot✓No.—
3. Type of Structure r No. of Bedrooms_) _
(Dwelling ommercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ /
5. Plumbing Fixtures: Water Closets Urinals d Lavatories Z Bathtubs. f
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Z 0 0 Qgr afmaterial of Septic Tank t
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
f
12. Leaching System: Number of trenches 0� Length Width_ Total
Other
Signature
( tensed 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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