HomeMy WebLinkAboutDrain Layers Permit 290 Diane Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
List No.: 9-6014!
DRAIN LAYER'S PERMIT N° 195
14 gy , 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at- 2MAX* Driy& on the
A5t side, between Brost flood & XelXy Road
at premises owned by Charl#& Cormier
whose address is
and to X-= Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with AIR-'i (62) asEic PiR1
Permit to be issued to Joka A L MOR
the holder of Drain Layer's License No. $ 9"`�i Permit will expire on July 19 0- .
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 Drain der to pump, eraA;A ond b&akfill tank,,
E)i--10�=' Signed a g �
Connection Charge Paid Licensed Drain Layer
Pot 3. Moniz (Sig) Issued by Nolvin vwrds# Jr,
Tax Collector
Permit,Fee: Paid $ 15900
Cheek Feign �..' .,�....,..
INSPECTION:
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FINAL (Sig)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawixg xot to scale. LOCATION 290 Diaxe Drive (Lot 30)
OWNER Charles Cormier
TYPE OF WORK Sewer Coxmeetiox
A 3T.—O DATE o5-21-73 PERMIT 195 PIPE2 Pl s
B 23.5 INSTALLER Lsox W9-20 1
INSPECTOR HWL DRAWN BY