HomeMy WebLinkAboutDrain Layers Permit 91 Dogwood Lane TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut BAP No.: 16-F
List.No.: _ �6 i C 40
DRAIN LAYER'S PERMIT
4 O� 4 1106
cl„ra a 09 June , 19 76 Y6
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to'perform
the work indicated below at_ - 91 Dogwood Lane (Lot 106)
a 1d0 O Gl (S�t dE 1 (1 F,
north on thenorth side, 111"�n �rst ace o�
cLari.� 8d'i `T��se
at premises owned by OTA Ed K- & CAnr3aro R Ota Ed
'whose address is saiag3me
and to -0—Lay House Drain, Repair House Drain, La Alain,n Other
for r Yc�-6h�g--a1 1
with ~(1O1 ) Family Units, with occupancy or use,
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (XX), INDUSTRIAL WASTES .( ), OR ( )
Connection de will/be made with six-inch (6") lactic pipe to a lateral known as Sta.. 11+69, at a
Lf') (plastic) to a lateral kn -
wn Rs
Sta. 11+69, at a ,
Permit to be issued to e�amn�,biircwsi;i
the holder of Drain Layer's License No. �49-2065,59
Permit will expire on, 09 August 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.
for street excavation. and/or C H D Permit No,
SPECIAL CONDITIONS
Connection Charge Paid 06_0 -76 Licensed Drain Layer
Rec• # 85 Issued by Melvin Edwards Jr.
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: ,
INITIAL 0,_ 09 @ /00.5 (Sig)
FINAL C? f�12 (Sig)
APPROVED 09 Juvr- /976 (Date)
� INS TOR
(Sig)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale LOCATION 1 Dogwood- Lo
OWNER 0TA, Ed K. & Candace R.
TYPE OF WORK House Connection
DATE PERMIT 1106 PIPE
INSTALLER Ad (W9-206559)
INSPECTOR DRAWN BY
ale/
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