HomeMy WebLinkAboutDrain Layers Permit 381 Benedict Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT IN? 441
tact. 1 , 19 3,
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at V-1 Bonedict Dro (I_e;, t oc) on the
east side, between Pine Tree & Dime Dr
at premises owned by Etln t F. V'alton
whose address is SmIne
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for X°esid t1.e`L�.
occupancy or use,
with or,0 } Family Units, with acres.
Type of Sewage to be connected under this permit:
SINITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with six inch (6) plastic pipe
Permit to be issued to John A. Lwama
the holder of Drain Layer's License No. 9"2i8 Permit will expire on 'Dec. 19 7� .
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 Dry: layer to punp. ccrush and back-fill :septic tack
Signed m_
Connection Charge Paid $ `0-5-73 Licensed Drain Layer
Per, F�. Moniz (Sig) Issued by Ralph A. Stark weather Jr.
Tax Collector
Permit Fee: Paid $. 15-00
INSPECTION: check,
INITIAL )` �/ ,�� 9�:y 7 /1271
_?(Sig)
FINAL ,J ��F P �' /� / ! .' (Sig)
APPROVED - C % (Date)
4 (Sig)
INSPECTOR
N
� 3S1
3 �,r
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 3 F cpA� dg
OWNER A 1-79
TYPE OF WORK S--N ER I-A
DATE 6 7 PERMIT / PIPE
INSTALLER orJ
INSPECTOR DRAWN BY s