HomeMy WebLinkAbout1965-11-29 - 121 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
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Propertyp _Address of Owner.
12-1 � �p /(j�
2. Location of Property G , �(S 4 e— Lot.-
3. Type of Structure- Gt No. of Bedrooms_
( Dwelling, 36mmercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises. _
5. Plumbing Fixtures: Water Closets Z Urinals L/ Lavatories_ Bathtubs
Showers / . Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank ie� Material of Septic Tank_
7. Soil Conditions: Type of Soil_ eZ-97c_ Maximum ground water table � aZ e
(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 '7 -
12. Leaching System: Number of trenches Length ' Widtb Total,
Other
Signature
(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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EDGEWOOD DRIVE
PROPERTY OF
Oyo
SOUTH WINDSOR, CONN.
Being Lot No. 358 on map entitled "Subdivision of Section VII
of PLEASANT VALLEY ESTATES South Windsor, Conn. Scale I" = 60'0"
July 23, 1963 by Primus % Welti Egrs."
Scale 1" 60, &T
HAYDEN L. GRISWOLD C.E.