HomeMy WebLinkAboutDrain Layers Permit 21 Elm Street TOWN OF SOUTH WI N DSOR ;
DEPARTMENT OF POLLUTION CONTROL Bhp No.: ?-r�
Suth Windsor, Connecticut ��9 -
List.No.:
DRAIN LAYER'-S PERMITZal 1453
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02' April, 1076 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to-perform
the work indicated below at 21 Elm Straw+ on the
side, between
at premises owned by NAUDZU$ Edward J. & Lydia S.
whose address is saute
and to 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 O(}{), INDUSTRIAL WASTES .( ); OR { )
Connection will be made withaix—inch .(6") 321astie tripe to 'a lateral known as Sta. 2+150, at a
debth of 6.0'{.
Permit to be issued to -_ _ John A. Eamson
the holder of Drain Layer's License No., W9-206188 Permit will expire on 02 June 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. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS Drain Laver must use solvent—joint pipe to the clean out at
the rear corner of the dwelling
Signed
v�g .
Connection Charge Paid p3..j0—?6 61, Licensed Drain Layer
Re.c. # 945 Issued by Melvin Edwards, Jr.
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: 2299
INITIAL A— (Sig)
FINAL A 4f Q Id o I- A (Sig) .
APPROVED 14 t 7A (Date)
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ECTOR (Sig)
b s ' ��,► e. ,.
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 21 Elm Street (Lot 23)
d OWNER NAUDZUS Edward J. & Lydia S.
�2 TYPE OF WORK House Connection
DATE PERMIT PIPE
,a 2 3'. INSTALLER
INSPECTOR DRAWN BY