HomeMy WebLinkAboutSeptic New 153 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. r�TO THE BUILDING DEPARTMENT: Date � /p- 19 S/'
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is sub itted:
1. Owner of Pro erty fAddress of Ow er,
/Sy
2. Location of Proper Lot. No' 10--
3. Type of Structure w
(Dwelling, l Bu
ommerciailding,Sto ,etc.) NO. of Bedrooms
4. Number of Families or Persons to Occupy Premises_
5. . Plumbing Fixtures: Water Closets_" Urinals Lava ries�_ Bathtubs_
Showers_ Kitchen Sinks_L Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan G Material of Septic Tank ���,
7. Soil Conditions: Type of Soil Maximum ground water table c�`J� 70
( d,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—,66-�. Widt 4 e 10,"
Total
Other
Signatur
icensed Instal er)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
t
/
�- FOR BUILDING PURP Es 0 An
1! I ► �
34'L 21
+f Inc) Lot 'No . 356 on males entitled } C' fIOn VI l (.?1
h�-`-Acl NI %'A!L4 �V r IAT7 UUth ifi ri '! 1 "11 N
o f, i;1 t t C r3 , fO (�
Jul y 23, 106.3 E,y !'r rius r, 'rat_, It i E rs . "
Scale. 11, = �