HomeMy WebLinkAboutDrain Layers Permit 381 Benedict Drive (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N? 441
19 _
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at , 1 3modict Dr. on the
east side, between Pine Tme S Di=6 Dr
at premises owned by T�"Jnn F, `.x nl k4m
whose address is fime
and to Av Lay House Drain, - Repair House Drain, Lay Main, Other ,
for residential
occupancy or use,
with one } Family Units, with acres.
n
Type of Sewage to be connected under this permit:
St'INITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with X nah { } RIgAtic n 7e
Permit to be issued to Jolm A. jamwn
the holder of Drain Layer's License No. wq�-2o6iQ Permit will expire on 3) . 19 '7A .
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 Drair. IaYer to rm s ecrush and b ctnll neptic tank
Signed
Connection Charge Paid $ 10- 7-�* Licensed Drain Layer
Per* Tit. nj (Sig) Issued by ? k . Zt , V0ath*r Jr.
Tax Collector
Permit Fee: Paid $_ q �
INSPECTION: Cilecl; >`'r
INITIAL 2 /.p 2.2 (Sig)
r
FINAL ...' = /- r (Sig)
APPROVED z` ~: .r,_ 1 (Date)
INSPECTOR `` r