HomeMy WebLinkAboutDrain Layers Permit 6 Birch Hill Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT NO* 446
Oct. 9 , 197_
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 6 Birch Hill Dr. ( t 3z ) on the
north side, between Foster & felt Rd
at premises owned by Donald R. Pa.rille
whose address is sane
and to x Lay House Drain, Repair House Drain, Lay Main, Other
for residential
occupancy or use,
with one (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE INDUSTRIAL WASTES, OR
Connection will be made with six inch (6) p4.stic pipe
Permit to be issued to Frank KucZA
the holder of Drain Layer's License No. W9-207134 Permit will expire on Dec. 19 73
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 blurs=. crush and harkfill septic t• tank
Signed
Connection Charge Paid $1012/73 Licensed Drain Layer
Per. E. Mo i (Sig) Issued by Ranh A. tgrkweaher Jr..
Tax Collector
Permit Fee: Paid $ 15.00
INSPECTION: Chheck ` d�O
INITIAL /J[�P !�� / /�1 ,7 %17,5'S� (Sig)
FINAL OC% ai 1 j?7 ',?y (Sig)
APPROVED C (Date)
(Sig)
INSPECTOR
N r
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION l�ec i /
/0 ,CT - OWNER t oo 'c
TYPE OF WORK _w6 L L
jJ;0 G 2 J— DATE PERMIT // PIPE
INSTALLER �c Z
INSPECTOR DRAWN BY ✓'