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HomeMy WebLinkAboutDrain Layers Permit 35 Grandview Terrace~ 1.;101a a``t 4_ TOWN OF SOUTH WINDSOR DEPARTMENT OF PUBLIC WORKS BUREAU OF POLLUTION CONTROL DRAIN LAYER'S PERMIT N. 5859 20 19 9,7- Pursuant to written application, permission is hereby granted to the Licensed Drain aver named herein to perform the work indicated below at � 191"T lL�ffi� at premises owned by whose address is and to Lay House Drain, Repsir House Drain, Lay Main, Other , for occupancy or use, with Family Units , with acres. Type of Sewage to be connected under this permit : SANITARY SEWAGE INDUSTRIAL WASTES ( ) , OR { ) Connection will be made with 7 Show sketch of proposed work or furnish two (2) copies of separate drawings. SPECIAL CONDITIONS Desired Starting Date /0_4/_ 9" Estimated Time for Completion Z Permit to be issued to Jim the holder of Drain Layer' s License No. 77 Permit will ekpire thirty;, (30) days after, date of issuance. The undersigned Drain Layer hereby agrees to all the terms and conditions set forth in the permit and the reverse side thereof. Applicant has received Town Perm t No. and/or CHD Permit No. .!< _ Signed icensed in Layer The above named Drain Layer has a v id license issued by the State of Connecticut and has filed a 'satisfactory bo qand insurance policy in the name of the Town of South Windsor: -14 Id/zd�� Z n nee g Dept. Date Permit Fee Paid $ Check umber _Co-nnection Charge Receipt N.o. 4- . Dated INSPECTION Date .work started - t Date completed 16 2 ) °l7 -Euff cient notific on received ; _ yes No Special Conditions -we oe -- - - - - APPROV 4, 0,2 - ^Z Inspector Date 'F P ki 181gs., E pok]A L 10 N /70 `v' /gyp �` —(0� -- o --.— , C9 PRO POS F-0 PRPP - F-OUNpA- C*J C-NV- 4 T F= ZOO.5' I' / 7,4' tea' C> - -P'L-. C `' ;:•P�r, o. p;b'off - r; Nn. 62 J 114.Co8 R = 55 C)Q' 'yi „rr� A�GOricR WA�K� I -- -._ _ --- --T,F- _ zoo-2-' O�COsN,,'��i /p� MN.-T9a591 �IL GP�\ 0= ��1� ?r�l'SS.. .O: �IQ4, l GIt � T= Zo.mot No 12377 q EN8 .40 rm,rmrnnnninA �ti�� 0' „t�d ...... �F CONNFc. ,•��,8�R��rr✓� a4 ���, W. 07---A, t-1AP REFEREKICF-: yP'2` titreA I 6FZANb14IEI..t TERRACE RES�>30►vlSlor�1 DEf-tlr .Q �: ST. FELT ROAD SOUTH 1�.11NDSOR , C-T' No. 16469 ;tv SCALE I" = 40' , DATED JA," . ICo l9� I FZF_'�ISE , C/4 - e/CE N SF. .'2�r TO 10- 7-B- Gl I 1:') -TOFR.t�E S E N C>1 N F- E R t1G // DAN/EL W. d'NE/L L -1* 16469 '' ,N,ALnd10%�" I hereby declare that this map is substantially correct. This map REVIEWED BY DATE A z prepared e standards Of PLOTTING 'F USS&C�• and survey were re azed in accordance with the standards _ . a Class survey in the for Surveys Maps as defined the State of Connecticut" Standards BOUNDARY R�-T 9. 11-yam O ;�s)<A JIt n x I(I x In W x 1 Y P t» as prepared .__PR A F T I N G — --- --=—=---------- -- 146 FIARiFORD ROAD,MANCHFSTER,CONNFCTU;UT Of( and 3 a tp PARTY CHF REV_.d by the Connecticut Association of Land Surveyors, FIELD EDIT (203) 646 2469 o Inc. Se tember 13 1984, OFFICE RICH, p�,, Z . PLAN PREPAFZED 5, --W—W- A4-U- 9/%Z -z_ REVISION DATE FOt�