HomeMy WebLinkAboutSeptic New 135 Edgewood Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System �Qz,
Application No. Q
TO THE BUILDING DEPARTMENT: Date 19W/,�'
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 Property Address of Owner
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2. Location of Pro y ot. No
3. Type of Structure No. of Bedrooms
Dwelling,Co mercial Building,Store tc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets w-)— Urinals Lav ories Bathtubs__ _/
Showers/ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Z 164aterial of Septic Tank f elr
7. Soil Conditions: Type of Soil Maximum ground water table -r
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 Length -4 _ Width_-T Total 27/
Other
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Signature
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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