HomeMy WebLinkAbout1966-6-6 - 105 Edgewood Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
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Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 19 G G
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 _ s Address of Owner
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2. Location of Prope�y Lot. No.7L/- d
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3. Type of Structure _ _ _ „ „ No. of Bedrooms
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets 2 Urinals O Lavatories Bathtubs_
Showers Kitchen Sinks_ Laundry TubsGarbage Grinder Other
6. Liquid Capacity of Septic Tank O Cl O ,, Q Material of Septic Tank
7. Soil Conditions: Type of Soil P Maximum ground water table
( Sand, Grave]. 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 V drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length / �C3 Wtdth f' Totals ! _
Other_
(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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