HomeMy WebLinkAboutDrain Layers Permit 25 Diane Drive - TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.: ! •
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT
N? 582
JIM&. V 19.E
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at A'S- 4,p--o 1:42 (Lot 69) on the
side, between 4g
at premises owned
�a
whose address is
and to _-, Lay House Drain, Repair House Drain, Lay"Main, Other
for r000 A, r Ltss occupancy or use,
with PA;; Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE O, INDUSTRIAL WASTES "( ), OR
Connection will be made with ;cz ;*4 A- a 4��
Permit to be issued to _, � .
the holder of Drain Layer's License No. t � Permit will expire on � � 1974 .
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 PUMP k j r. to* aued &rush if n 6,a
Signed
Connection Charge PaidltF1g Licensed Drain Layer
Issued by lyh A, i�taztwr Jr*
Tax ollector
Permit Fee:. Paid $ _
INSPECTION: Check Number:
INITIAL 0709 (Sig)
FINAL a /xv (Sig)
APPROVED 06' Jttae. 'IF7 (Date)
(Sig)
INSPECTOR
N
_l t
I
t
I
NOTES SOUTH WINDSOR POLLUTION CONTROL
Seale - 1" = 401 approx. LOCATION 25 Dime Drive (Lot 6g)
OWNER Gerald Hawver
TYPE OF WORK -Sewer Co
DATE 06-o6-74 PERMIT 583 PIPE6t1 Plast.
INSTALLERLamsex (W 20 188)
INSPECTOR ME DRAWN BY ME