HomeMy WebLinkAboutDrain Layers Permit 261 Graham Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.; 444
South Windsor, Connecticut
List.No.: -SCe�(�S4 i 16l
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DRAIN LAYER'S PERMIT �'b 1i43
'U7-7 G 17 Septemher, 19 76 _
Pursuant to written applicatior, permission is hereby granted to the Licensed.Drain_Layer named herein to-perform
the work indicated below at
on the
crest side; between -High Street & Herman Way
at premises-owned by R & C
whose address-is
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:
SANITARYf SEWAGE ( g), INDUSTRIAL WASTES OR ( )
Connection will be made with six-inch ( ) lactic i e to a Lateral -known as Star 28+
,-3e th of 6.61±. _ a fo} .0'1 ✓��•�. 'ct e15, at ,a
Permit to be issued to .T-co;. drty S(Cu
the holder of Drain Layer's License No. . W9-205924 Permit will expire on 17 Noyem'ber 1 76.
The undersigned Drain Layer herebyy agrees,to all the terms and conditions set forth on the per and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL •CONDITIONS
Signed
Connection Charge Paid Licensed Drain; ayer
- -- Rec.-- _1022 Issued by Melvin Edwards, Jr.
Tax Collector -
Permit Fee: Paid $
INSPECTION: Check Number: `'Co C` 7c`. * i
_ - INITIAL 09117e. /.s/s- - (Si A
— FINAL �� �.
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(Sig)
_ APPROVED 1-1 caE nT .M r� re. Da-
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(Sig)
INS CTOR
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—TES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. - _ LOCATION 261 Graham Road (Lot S11)
OWNER R&C
TYPE OF WORK House Connection
DATE o9-/7-7e., FERMIT 1143 PIPE 6 " s
INSTALLER Vito W9-20592
INSPECTOR DRAWN BY