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Drain Layers Permit 95 Diane Drive
TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: 18/—E South Windsor, Connecticut f2f List.No.: $4o9r _ DRAIN LAYER'S PERMIT `U 1052 C�3 31 March , 19 76 - Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to-perform the work indicated below at '`95 Dianne Drive (Lot 63) on the 7 amide., YJQ= southeast corner.:of Diane.Drive_& Brent Drive on western leg - at premises owned by WALKER. Brien T. & Betty Ann whose address is same and to xx 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 withsix-inch .(611) Plastic tiieP to a lateral no t as Sta. 5+90 at a duth of Permit to be issued to -DDQualas M. Ba all dAZa Barnes Constr»�tinr� the holder of Drain Layer's License.No,._ W9-2657$0 Permit will expire on 31 M 19 Y The undersigned Dram.-Layer hereby agrees to all the terms and conditions set forth on the permit and the re --- verse side thereof. Applicant has received Town Permit No. and/or C H-D Permit No. for street excavation. SPECIAL CONDITIONS r Signed Connection Charge Paid Q3 g.•7 Stevan D. Barpk&erse&Drain Layer(W8-2750�3) for Douglas M Barnes Tax Collector Rec. # 941 Issued by Melvin Edwards Jr. Permit Fee:. Paid $ _ 1 •�n/� INSPECTION: Check Number: INITIAL -©3/31 o t/5.� (Sig) FINAL _0*/DZ a (Sig) APPROVED ®2 A/i,e It 9'76 (Date) d") (Sig) INS TOR N F ,Z2.• v .. u3lSlG� //S� 2 � NOTES ISOUTH WINDSOR POLLUTION CONTROL Drawing not to scale. LOCATION 95 Diane Drive (Lot 6 ) OWNER Walker, Brian T. & Betty Ann TYPE OF WORK Hour Co A ° ��' DATE d PERMIT 1052 PIPE �"P �,C, INSTALLER Barnes (W -20 80) INSPECTOR DRAWN BY