HomeMy WebLinkAboutDrain Layers Permit 778 Clark Street TOWN OF SOt H WINDSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.:
South Windsor, Connecticut
List No.: -» /
DRAIN LAYER'S PERMIT N9 536
Ajudl , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at +fit• on the
side, between & P10040 r Ve
at premises owned by C" r
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for ftsidmuel
occupancy or use,
with tom# Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with Adz (6) 1&" plasUe pipy
Permit to be issued to J*ice
the holder of Drain Layer's License No. Permit will expire on J 192-4,.
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
Signed
Connection Charge Paid Licensed Drain Layer
a Issued by . � r Jr..
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL' r ; .: "' (Sig)
FINAL (Sig)
APPROVED # <_ (Date)
(Sig)
INSPECTOR
l
N
'i
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 7 8' C .rT
OWNER A94e
TYPE OF WORK ,S' ✓✓ G,qy-, C.
DATE ? PERMIT PIPE lij
INSTA L,grn,to,✓
INSPECTOR iRS. DRAWN BY S
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date Agri 1 ,22, .1974. . . . . . . . .
The Sanitary Sewer . XXX. . . . Septic System . . . . . . ._. .
at .7.7.8. Clark Sit.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
or lot #. . .VA. . . . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
ByA Date �'