HomeMy WebLinkAboutDrain Layers Permit 060 Bayberry Trail TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
Li
South Windsor, Connecticut GI1C/Z
st.No.: _
DRAIN LAYER'S PERMIT NO 1191
19
Pursuant to written applicator, permission is hereby granted to the Licensed Dra' er naame herein to perform
the wor=dicat below at � !�T l �' rQ -p� CXJ on the
side, between
at premises owned by
whose address is
and to X—Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE �, INDUSTRI L WA S ), OR ( )
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. 2���`'T� 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 si
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid License Drain er
Issued by
Tax Collector
Permit Fee: Paid $ _ 15 0
INSPECTION: Check Number:
INITIAL "! (Sig)
FINAL (Sig)
APPROVED C (Date)
INSPECTOR (Sig)
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EVERETT 0. GARDNER & ASSOCIATES 5TS OLD POST ROAD TOLLAND, CONNECTICUT 06084
31
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.54
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PERMIT PLAN
LAND OF U,-& R. HOUSING CORP. , LOT #54, "GREEN RIDGE"', SECTION III"
TOWN OF SOUTH WINDSOR, CONNECTICUT SCALE: i " = 40'
Certified substantially correct.
XP.E. & L.S. #4395
February 9, 1977 Elev. base = B.M. 32 San, sewer map 4C
REFERENCE: "Resubdivision- remainder of Parcel "A", Green Ridge -
Section III 1 " = 40' , Feb. 5, 1976 by Everett 0. Gardner. " `
PROFESSIONAL ENGINEERS LAND SURVEYORS " 'J�
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NOTES SOUTH WIND OR POLLUTION CONTROL
LOCATION . ""�` >���� ,J -_� ,i
OWNER
TYPE OF WORK
DATES ; PERMIT' PIPE
INSTALLER G
INSPECTOR t' DRAWN BY
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TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . : Ss .� .`7
7. . . . . . .
The Sanitary Sewer . . . Septic System p Y . .
at . .
or lot #. .- . . .. . . . . has Ja installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepte a d pproved
BY
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