HomeMy WebLinkAboutDrain Layers Permit 39 Grandview Terrace '' ` } TOWN 4F SOUTH Wl N DSOR
DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL'
DRAIN LAYER'S PERMIT v4`No , 5860
19
Pursuant towritten applcaa n_,, permissi:on is hereby granted to the
Li end Dr in La er named herein to perform the work indicated below at
f
at ,premises owned by
whose ad.`dres"s is • jlJ d✓� and to
Lay House Drain _Repair -House, Drain, Lay Main,: Other
for occupancy or use, with
Family Units, ..wit acres.
Ty -e of Sewage to be connected under this permit.: SANITARY SEWAGE
INDUSTRIAL WASTES OR ( )
Connection will be made with " Arc
Show sketch of proposed work or furnish two (2) copies of separate drawings
SPECIAL CONDITIONS ,/ TS. muss- ge- ED&Z-041
Desired Ssr:t-ing Date rt�DT-Z - Estimated Ti/1me for Completion Z 'S
Permit to be. issu'e,d to � ( j tr41r
f. the holder o-f. Drain Ldyer.'s License, No Permit will -ex re tl ;irty
(30) , days after. date of issuance, The und'ers.igned .Drain Layer hereby agrees
to all the term. a-nd conditions a't "forth in -the perraip and the reverse side
thereof. Applicant has received Town P'ermi an or
CHD Permit No.
Signed
L censed` aDr Layer
i
The above named Drain: Layer has a vVa d license issued by the State of
Connecticut a-nd has filed a satisfactory bond and ins ra:nce policy in the .
name of the Town oaf South Windsor:
En eer . , .Dept. Date
Permit Fee Paid .$ -UU . Check u er •
,:Connection Charge, Rece;i.pt No. 2 _ - Da,ted
INSPECTION
Date work started 2 �92i Date completed
Su-ff3cie-nt notificatro re eive —des
Special Conditions ,
A P P RUYX-�.jT
Ins.pent r Date
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s��:a GR,6,vjcov, Ew T� �RACE. RESUP DIVIS1ot�I� DEMI►�1G
inmr
r s ST. 4 F" El_-T ROAD , SouTH hllt\tDSOR C7."I
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Hereby declare that this map is substantially correct. This map REVIEWED B Y D A T E
1d survey were prepared in accordance with the standards of PLOTTING A$7 9-za 9 �u�s&Q•NEILL
Class A z- survey as defined in the "Recommended Standards BOUNDARY R57. -qZ O c:cx�s��ltir x�erx�irieers
>r Surveys and Maps in the State of Connecticut" as prepared _DRAFTING 146HARTFORD ROAD,MANCHESTER,CONNECTICUT 06040
►d a ted by the Connecticut Association of Land Surveyors, FIELD EDIT I2031 646-2469
Ic. September 13 1984. PARTY CHF. REV. PLAN PREPARED
-- --__ --
OFFICE
LLqeM"C.Q jq REVISION DATE FOR
^'kip,F_"01-15 R ;# Iz3 t LG � � R S K - K
f> certification is expressed or implied ess this map
P Original signature HOR. DATUM Ft•L+•C
gi gnature and embossed Seal of the above named nd Surveyor. VER. DATUM M.D.0 . G9,AN0IF-" T
IF-" ER u RACE So 1F4 k,1tKIDSOFZ,�_ I
HOR. I IN.= 40 FT. PROJECT FLD. BK. DATE
SCALE:
vER. IN.= Fr. 91-�o I•lA g-zg-q� SHEET NO. 1 OF I