HomeMy WebLinkAbout1966-5-23 - 106 Edgewood Drive - Septic ApplicationTOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System ((//
Application No.
TO THE BUILDING DEPARTMENT: Date �- �- 3 19 C
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 r r'i Address of Owner_
7 q
164 r
2. Location of Property Lot, No. 7
r
3. Type of Structure No. of Bedrooms_ 3
(Dwell n , Commercial Building. Store, etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Z Urinals o Lavatories 2- Bathtubs
Showers_ Kitchen Sinks , Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /U U7V Material of Septic Tank /
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
12. Leaching System: Number of trenches Length�Widthe- Total
Other
0
algnazure,� 4Y-x-+ v t f0r) (Ucenaed Installe
(Sketch showing all minimum distances and other details required below)
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Permit Issued
19 By.
Installation Completed, Inspected and Approved -.19 By,
f1i% r.
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