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HomeMy WebLinkAboutDrain Layers Permit 162 Beelzebub Road 70 �� TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL BAP No.: 30 F South Windsor, Connecticut List.No.: DRAIN LAYER'S PERMIT N? 520 Q3 .Tx,iiary , 19 .24 — Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 162 Beelzebub R ad (La . 29) on the isorth side, between NortnLa-as mud Faster Strsst at premises owned by— Dewsv G. Poast whose address is same and to --_? Lay House Drain, Repair House Drain, Lay Main, Other for residextial occupancy or use, with OR* (1) Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR ( ) Connection will be made with .i x—i uch (61f) tT C P at Sta. 3,W2.5s depth of 41# Permit to be issued to Adam S. Wia�ei swa2ci the holder of Drain Layer's License No. W9-206559 Permit will expire on 03 March 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 Pump, crush and backfill septic taxk Signed,V-, Connection Charge Paid 12-27-73 Licensed Drain Layer Per E. Moxiz Issued by Melvix Edwards, Jr. Tax Collector Permit Fee: Paid $ INSPECTION: Check Number: INITIAL o© (Sig) FINAL O (Sig) APPROVED „3 l (Date) ' (Sig) INSPECTOR � s N 1 G � NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION OWNER y.. TYPE OF WORK DATE PERMIT PIPE INST L R INSPECTOR A:1 DRAWN BY