HomeMy WebLinkAboutDrain Layers Permit 20 Benedict Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.: _2-9"D
South Windsor, Connecticut S—Gr®�� �.
List.No.: _
DRAIN LAYER'S PERMIT
d 675
Oct. 10. 1974 , l9
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 20 Bft"ict Drive' ( L,j- '7 j on the
side, between
at premises owned by Dorthy Faust
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other ,
for Resideatia
occupancy or use,
with 04* Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (x),/INDUSTRIAL WASTES .( ), OR
Connection will be made *Itlt 6 inch plastic pipe
Permit to be issued to
WL11J N a f Xaft oy
the holder of Drain Layer's License No. W-9206278 Permit will expire on 10/r10/74 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
0
Signed
Connection Charge Paid Licensed Drain Layer ,-
Issued by F11Wk Je Smith
Tax Collector
Permit Fee: Paid $ _13000._
INSPECTION: Check Number: -- 10
INITIAL !o/t A Q /6ocs �`z_.-----.—. (Sig)
FINAL i o�2I @ 59Yo f�" (Sig)
APPROVED %,i A;;�oA (Date)
(Sig)
IIRSPECTOR
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