HomeMy WebLinkAboutDrain Layers Permit 84 Brich Road TOWN OF SOUTH WINDSOR
DEPARTMENT OFF POLLUTION CONTROL
!� South Windsor, Connecticut
DRAIN LAYER'S PERMIT NO 468
Oct. 16 , 19 73_
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at h DV. on the
north side, between WoadUnd 8e BA80
at premises owned by P'rMk Rmni.k
whose address is 80"
and to x Lay House Drain, Repair House Drain, Lay Main, Other
for raeidmtial
occupancy or use,
with tfA@ M Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with six dugh j„;„t Plastic PS�
Permit to be issued to J01f 8031
the holder of Drain Layer's License No. W9'"' i Permit will expire on Dec 16 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 drams layer to rw.D crush and backfil2 Septic tank
}
4
Signed .-
Connection Charge Paid $10,116/'73 Licensed Drain Layer
Per. Z. Mortiz (Sig) Issued by Ralph A. StaAmeather Jr.
Tax Collector
Permit Fee: Paid $ 1590
INSPECTION: Cheek 12$8
INITIAL
FINAL / G (Sig)
APPROVED i (Date)
(Sig)
INSPECTOR
� r
N
r
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION PV
OWNER
TYPE OF WORK
DATE — PERMIT re' PIPE 1l:k/ Tic
INSTALLER L Jvy
INSPECTOR f f DRAWN BY & S