HomeMy WebLinkAboutDrain Layers Permit 265 Benedict Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.:
South Windsor, Connecticut A
List No.: -5—�}!03 J
DRAIN LAYER'S PERMIT Na 758
q
?440
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at__ 265 Benedict Drive ( L 2 on the
north side, between RaMad Road •nr3 Sjjruno Lang
at premises owned by '. � I i��ms i>. t�r*pn
whose address is lime
and to X_Lay House Drain, Repair House Drain, Lay-Main, Other ,
for resi-dentiill occupancy or use,
with one (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made withsix—inch (6") P1€sst c PU12e to a lateral known a. st 33+2. , at a
depth of 7#01k.
Permit to be issued to Howard 0. Slater, dA412 J & 11 S*1A ter Cnnntruntinn Cn. � Tnt�-,
the holder of Drain Layer's License No. W9>206451 Permit will expire on jjS *e. 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
Connection Charge Paid 12-18-714 I.icensed Drain Layer
Receipt No. Issued by Ijelyin Mwnrfl.Ar ;Try_
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: ?
INITIAL : (Sig)
FINAL (Sig)
APPROVED ' ;' r 74- (Date)
(Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 6
OWNER
TYPE OF WORK
DATE +. ? PERMIT 7,5-8 PIPE o
INSTALLER S
INSPECTOR -rl„ n DRAWN BY j , `