HomeMy WebLinkAboutDrain Layers Permit 229 Benedict Drive M TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N? 394
Aux, 28 11923
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 229 Bonod .*t Dr. ( L w) on the
IiPrth side, between Kelly & Mmor La.
at premises owned by Do"Id KiMb=7
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for x'*si.dontW occupancy or use,
with on* (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGEd) INDUSTRIAL WASTES, OR
Connection will be made with *iX iA611 (6) platatie Pip
Permit to be issued to John A. LW9=
the holder of Drain Layer's License No. W-96 2oW8 Permit will expire on Oct. 27 19 ,3
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 Dredn LAty*r t0 11 Pf SV ba►WiU **pt.* Uak
Signed
Connection Charge Paid $08_24_2 Licensed Drain Layer
P*To No Mmis (Sig) Issued by Wpi A* Star1["ather Jr.
Tax Collector
Permit Fee: Paid $. 15.00
INSPECTION: Chock
INITIAL (Sig)
FINAL 6 ., .•. (Sig)
APPROVED ,' (Date)
INSPECTOR ' t
� 229
NOTES SOUTH WINDSOR POLLUTION CONTROL
G/ LOCATION ?2 9 �wE4icT" ,p
O
OWNER r
A — 9 TYPE OF WORK s E(nER L TERq�
DATE 4 Zv PERMIT Y941 PIPE /2/A7/-e-
3 INSTA LE
INSPECTOR DRAWN BY G�