HomeMy WebLinkAbout1965-7-18 - 153 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 19 (� /
•ems
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is sub itted:
1. Owner of Pra erty,
/S-
2. Location of Proner'
3. Type of Stru
Of
of Bedrooms l
4. Number of Families or Persons to Occupy Premises C
5. Plumbing Fixtures: Water Closets `-)_ Urinals Lava Ties -- Bathtubs—.,"
�
Showers_ Kitchen Sinks_- Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank
7. Soil Conditions: Type of SoilMaximum ground water table rr�r
( d, 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 Width Total '-
Other
Signatur G ,• t-
oene . Installer)",
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By.
FOR BUILDING PUS
_ y 4C r, t
t11AWAI IIV 41 11, t; ,
Ptt'O'ERTi OF
Nc,. EOGEIXOD DrI VE :0HrH WIwl)`^' , cw!`.
Being Lot No. 3 j6 on map entitledof : ect i on VII of
I'LLASANT VALLEY ESTATES South Windsor, Conn. Scale !" = 60' 0"
July 23, 1063 by Primus E� Welti Fars."
Scale I" = 60'
HAYDEN L. CMI:" dOLD C.E.