HomeMy WebLinkAbout1965-7 - 144 Edgewood Drive - Septic ApplicationTOWN OF SOUTH W R N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System e?Y
Application No.
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TO THE BUILDING DEPARTMENT: Date. 19 s
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
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1. Owner of Property Addres of Owner W W' I
2. Location of Property_ l Lot. No. T _
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3. Type of Structure p��"� `��•`�i _ No. of Bedrooms_
Dwelling, Conlinerckal Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets _9— Urinals D Lavatories—_ Bathtubs_
Showers_ Kitchen Sinks Laundry Tubs 0 Garbage Grinder Other
6. Liquid Capacity of Septic Tank d Material of Septic Tank�`-
7. Soil Conditions: Type of Soil Maximum ground water table ST
Sand, Gravel, Clay, eta. }
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 Width--- ,— Total::
Other
(Sketch showing all minimum distances and other details required below)
Permit Issued
19 By
Installation Completed, Inspected and Approved __ __ 19 By
LOT 323
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