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HomeMy WebLinkAboutDrain Layers Permit 02 Autumn Drive TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut B/P No.: List.No.: _Ca /3 Z 3 DRAIN LAYER'.S PERMIT NO 1378 Jy 192 Pursuant to written applicatior, rmis ion is hereby red t the Lice /dI rain Layer named herein to"perform the work indicated below at on the side, between at premises owned by whose addr is and to / Lay House Drain, Repair House Drain, La -Mi yan Other for occupancy or use, with Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE ( �, DUSTRIAL W S Connection will be made with Permit to be issued to the holder of Drain Layer's License No. Permit will expire on 19 The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS Signed V Connection Charge Paid Z— ense rain Layer Issued by Tax Collector Permit Fee:r Paid $ INSPECTION: Check Number: 3Q INITIAL (Sig) FINAL (Sig) APPROVED (Date) INSPECTOR (Sig) EVERETT O. GARDNER & ASSOCIATES 576 OLD POST ROAD'—'--- TOLLAND, CONNECTICUT 06084 a,•n r 4 d' rl WEea7. N ►�� I \ h eFr a7yr, N r ni \ a 41 f Y� ' ,�•�' �,` \`ate b. /1 7 IV PAIL v a �,• NS 1�zoo j I PERMIT PLAN LAND OF U. & R. HOUSING CORP. ,,,.,,,,,r,,,,,,r•,,>,,,,,, .. ._..,x.� , LOT #12 HIGNGATE ESTATES J �� °E N'`H•'% i f U ��J i,i••�•,_ a TOWN OF SOUTH WINDSOR) CONNECTICUT aoy�Pr �� �• c SCALE: 1 " _ Q, > Certified substantially correct. NA Lr: December 14, 1977 �" P• E. & L. S. #4395 r , Elev. base M.D.C. datum a . ---PROFESSIONAL ENGINEERS_ _ LAND SIjpurv�.Ov