HomeMy WebLinkAboutDrain Layers Permit 285 Diane Drive TOWN OF -S-O TH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South"Windsor, Connecticut
List No.: 9-60129
DRAWLAYER'S PERMIT NO 194
14 y , 19 75
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Pft Drile on the
1A SSW side, between_ K011Y d sad B t DrAve
at premises owned by C 1Ad# G*imr
whose address is
and to It Lay House Drain, Repair House Drain, Lay Main, Other ,
for 1081dMUO
occupancy of use,
with Family Units, with acres.
Type of Sewage to be connected- nder this permit:
SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with_ f $tf
Permit to be issued to 46 Aa
the holder of Drain Layer's License No, W9-206188 Permit will expire on 14 July 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 r tO h 9 4 b tiQ
taqw-
Signed
Connection Charge Paid Licensed Drain Layer
P*r go:;I "a (Sig) issued by'N*1yiz Wwardes Jr*
Tax Collector
Permit Fee: Paid 15*00
INSPECTION: Ckeek bees
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
IN P
7S
71
v.
I
r
1 -AIL
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Seale: 1" = 40' LOCATION 285 Dia.xe Drive (Lot 4 )
OWNER Ckarles Geiger
A 09 24 TYPE OF WORK Sewer Coxxeetiox
B 31 -- DATE 05-15-73 PERMIT 194 PIPEP P.V.C.
C -- 37 INSTALLER Lan sox (W9-206188)
INSPECTOR HWL DRAWN BY ME