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Drain Layers Permit 56 Davewell Road
TOWN OF SOUTH WI N DSOR . DEPARTMENT OF POLLUTION CONTROL B/P No.: P.V.A. i0 4 South Windsor, Connecticut Sfofo z List No.: _ DRAIN LAYER'S PERMIT - BS,o ° 1130 05 Aujzuat , 19 76 Pursuant to written app icatior, permission is hereby granted to the Licensed Drain Layer named herein to-perform the work indicated below at 56 Dgmempl-I Road (Lnt 21) on the RARt side, between at premises owned by PATTERSON, Ferd W., Jr. & Patricia whose address is same 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 (}X, INDUSTRIAL WASTES .( ), OR ( ) Connection will be made with six—inch (6") 1?1 nsti n pi-of, to n 7 atew- known as St,. 14485, at a depth of 8.0'±. Permit to be issued to Walter J. Knapp, dA/a Knapp Construction Company the holder of Drain Layer's License No. 4F()p2067o8 Permit will expire on 05 October 19 76.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 n y f Signed '`f �� �J Connection Charge Paid 07-29-76 Licensed Drain Layer Rec. # •1005 Issued by Melvin_ Edwards, Jr. Tax Collector Permit Fee:. Paid $ INSPECTION: Check Number: C11ah. Rec. � 17' INITIAL 4o/-oS e ©9Z3 L (Sig) FINAL Q /St+2 t (Sig) APPROVED d 4.e6,CSr ! 7e. (Date) (Sig) CTOR 4S o� V zz 'Tw 4 S Wye,� / eaves Q!'c.l, 4 S h r NOTES SOUTH WINDSOR POLLUTION CONTROL Drawing not to scale. LOCATION OWNER PAMWWN Ferd W Jr & Patricia R IG TYPE OF WORK 13 S DATE o -as•74 PERMIT 1130 PIPE " P,, V, C, INSTALLER Knapp W9-20 70 INSPECTOR DRAWN BY