HomeMy WebLinkAbout1965-11-29 - 124 Edgewood Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut 041
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Late
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 { ?Zct Address of Owner1 ZA_/f Li['L n.- .�LI✓ . G�� �d�-J
2. Location of Property Lot. No.� �
3. Type of Structure ,. _ No. of Bedrooms13
(Dwelli ,Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises,
5. Plumbing Fixtures: Water Closets Urinals a Lavatories oZ Bathtubs
Showers % Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank L' 0 0 Material of Septic 'Tank_ /
7. Soil Conditions: Type of Soil Q`n Maximum ground water table. CCU
[San , 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 i7 .lf --Classification of soil A o� �
11. Minimum square feet of effective seepage area
12, Leaching System: Number of trenches Length idth _ Total _
Other
n
Signature r � r . I�6 nr
(Iilcensed Install )
(Sketch showing all minimum distances and other details required below)
Permit Issue
9 By
Installation Completed, Inspected and Approved 19 By
l% 74
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PROPERTY OF
..•.,•HQ� ; EDGEWOOn DRIVE
SOUTH WINDSOR, OONW
Being Lot No. 325- on map entitled "Subdivision of Section V; I 1
of PLEASANT VALLEY ESTATES South Windsor, Conn. Scale 1" s 60R00"
July 23, 1963 by Primus Ira WeIti Egrs."
Scale I" = 60 ` G'C 77,
HAYDEN L. GRISWOLD C.E. /