HomeMy WebLinkAboutSeptic New 113 Edgewood Drive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. -�
TO THE BUILDING DEPARTMENT: Date 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is /submied:
1. Owner of Property Address of O er
2. Location of Propert ot. No.
3. Type of Structure No. of Bedrooms
(D�,Iilnqmmercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Z- Urinals Lavatorles�_ Bathtubs
Showers_ Kitchen Sinks_ Laundry Tubs _ Garbage Grinder Other
6. Liquid Capacity of Septic Tank_ d Material of Septic Tank
7. Soil Conditions: Type of Soil . Maximum ground water table S
Sand,Gr vel,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 17 Length_ 4l Width Total eA d
Other
Signatur /
icensed nstaller)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
1
FOR BUILDING PURPOSES ONLY Dom'
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NO . EDGEWOOD DRIVE SOUTH II NDSOR, CONN .
Be i ng Lot No. 359 on map ent it l ed "Subd i v i s ion of `;ect i on V I I of 4 ,
rLEASANT VALLEY ESTATES Sot.sth t'Y i ndsor Conn . Ica I e 1 " 60' 0"
July 23, 1963 by Pt i mus & Felt ; L,-oors . "
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Scale I " -60'
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