HomeMy WebLinkAboutDrain Layers Permit 375 Benedict Drive TOWN OF "OUTH WIN DSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No..
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT N? 515
Doc, 7. 1973 , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 375 lifxedict Dr. e I_crr i a- on the
earth side, between Ijigliyi'ew BSc Spruce La.
at premises owned by Cherle� lc�rri+a
whose address is name
and to _) Lay House Drain, Repair House Drain, Lay-Main, Other
for remi cieat7 al occupancy or use,
with gate Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), INDUSTRIAL WASTES _( ), OR ( )
Connection will be made with alas inch (6) plaaticpipr.
Permit to be issued to _ Frame Kucza
the holder of Drain Layer's License No. W9.,,207134 Permit will expire on Fob. 7 1973
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 Drain layer to pumps crush mad bacckfill septic tam
Signed
Connection Charge Paid Licensed Drain Layer
F SF.„— 44ia Issued by Ralth A, atur'kwea her Jr.
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL / ° L 2:2,7 C-- jd /) -? 2 c,` (Sig)
FINAL 14 ' ! 1 1� (Sig)
APPROVED rJ / " (Date)
4 G c (Sig)
INSPECTOR
N
.J
NS
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION :S
OWNER C
TYPE OF WORK
DATE PERMIT PIPE
INSTAL R Y t,c ne?
INSPECTOR j- DRAWN BY I'