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HomeMy WebLinkAboutDrain Layers Permit 691 Governors Highwa TOWN OF SOUTH WINDSOR DEPARTMENT OF}POLLUTION CONTROL South Windsor, Connecticut DRAIN LAYERS PERMIT 440 oc t. 4 , I9 73 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 691 Govellor'a Highway on the [oath side, between Rt. 5 & Rt. 5 at premises owned by AXITian S-te ftr whose address is and to Lay House Drain, Repair House Drain, Lay Main, Other for ResidentW occupancy or use, with one (1) Family Units, with acres. Type of Sewage to be connected under this permit: (SANITARY SEWAGE? INDUSTRIAL WASTES, OR Connection will be made with Slx I.nch(60 plastic pipy Permit to be issued to H. Q. Slater the holder of Drain Layer's License NoW9-?_o6 51 Permit will expire on Deco 4 The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse sid thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS Drain 1,Vor to PUMP,crush and backfill septic tanlc, Signed Connection Charge Paid $ 1004/73 Licensed Drain Layer Per. • Moni (Sig) Issued by RalphA. Satxxkweather Sr. Tax Collector Permit Fee: Paid $ 15*00 INSPECTION: Check ' INITIAL G' i©." (Sig) FINAL r',_s �' f(Sig) APPROVED OC l j!g 7 ? (Date) r (Sig) INSPECTOR N 2 i 2 I - - SOUTH WINDSOR POLLUTION-- CONTROL LOCATION 691 Qs OWNER ^- r c TYPE OF WORK �S F DATE oc- PERMIT 9ve PIPE ZLdr7jc INSTALLER ?,h/ .st iF INSPECTOR 4LC DRAWN BY