HomeMy WebLinkAbout1965-6-6 - 152 Edgewood Drive - Septic ApplicationTOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut r
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 6 -19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is s;aicm—ww:
1. Owner of Property y A dress of Owner �'�L r2. Location of Properd� -'c-*--= t. N°,
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3. Type of Structure y No. of Bedrooms
( Dwell n , Commercial Building, Store. etc.)
4. Number of Families or Persons to Occupy Premises "+'+M��
5. Plumbing Fixtures: Water Closets Urinals Lavator �es�Bathtubs_
Showers _k Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic 'Tank,
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7. Soil Conditions: Type of Soil Maximum ground water table
A and, ravel, 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 trenchesLength ` WidthTotal
Ott -ICU
(Sketch showing all minimum distances and other details required below)
77
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Permit Issued 19 By
Installation Completed, Inspected and Approved _ __. 19 By.
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PROPERTY OF
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INS F005% 00
FOR g1111D
NO. EDGEWOOD DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 323 on map entitled "Subdivision of Section VII of
PLEASANT VALLEY ESTATES South Windsor, Conn. Scale 1" 60' 0^
.July 23, 1963 by Primus & Welti, Engrs"
Scale I" = 60'
HAYDEN L. GRISWOLD C.E.