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HomeMy WebLinkAboutDrain Layers Permit 36 Grandview Terrace TOWN OF SOUTH WINDSOR DEPARTMENT OF PUBLIC WORKS BUREAU OF POLLUTION CONTROL pee DRAIN LAYER'S PERMIT -NO 8 V 1 19 qZ Pursuant to written application, permis-sion is hereby granted to the Li eased Drain Layer named herein to perform the work indicated" b low at V// " at premises owned by whose addres& is J7 and to E Lay House Drain,, Repair House Drain, L.ay 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 ' P VC Show sketch of proposed work _or furnish two (2) copies of separate drawings All SPECIAL CONDITIONS dS . Desired Starting Date U7V-- 9 Estimated: Time for _Completion ;2 Permit to be issued to LO�l�T. Lv, the holder of Drain Layer' s License No. Z4 7ZLa Permit will expire thirty, (30) days after date of issuance. The undersigned Drain .Layer hereby agrees to all the terms and conditions set " forth the permit _and .the reverse side thereof. Applicant as received Town Perm t No. and/or CHD Permit No. /U Signed censed Dra- n Layer The above named Drain Layer has . a v d license issued by the State of Connecticut and has filed a •satisfactoryLbn& a,nd" urance policy in the name of the Town of South Windsor: /4/ /? Z E gin. a ng Dept. Date . Permit Fee Paid $ ,�—ICJ Ch'e Number Connection Charge ..Receipt No. 4-z-a A Dated tea- INSPECTION Date completed Date work started C7 ZyZ -�° Su€ficient notificatlon rece ve : es No Special Conditions - _- APPROVE /Q-22- Inspector Date o�uR 1• OO• RTURn pN J n Lot,P O 9 � 1 W O U,5 e>� ��a�p7.p1 t•.F. o ZdB� z z, �to zA 9g.6 ya I`lt 9 i °° N pi 1 A.; 70 uJla�bte) i p.C. CalR Ap►p V 1 off' 'r 0..1� ' I�,v IPs v MAP REFF—P IZ L 10E=_ "'C-�R�t�1DVIEW -YERRACE RESIJ(?5C71VI��Ip(�I , pE,N�1�1� S-� FELL ROAD , So1_)TN ltillti[�_>oR C: 1 1 TO tO - Zg- clI e>`( -T0RRES E11CzIt_JI=F-1�.1^Jc�� It�JC.. �CON)yC!,.' I /$.���OFe•CONM'�i aI`M^f COnlVlflln�''1`-�y /s`sl G: ♦1�'�..' M D• p;`L'o '' W• �i No 17(11 �• C� ;CC U' " No. 16469 <q_�E N 3EeQ ���: �/ O �'w 3UFiV r 'is* 't CENSE, Ga 1— `s/ORAL , l! 0 ' �pp�1^Illlllll^I� I hereby declare that this map is substantially correct. This map REVIEWED B Y DATE and survey were prepared in accordance with the standards of PLOTTING fKS7 q_zQ_q ����t.]t.O'I� a Class A-z surveyas defined in the Recommended Standards _ _ EILL " BOUNDARY RSr - 9-z9 �� :,% (:cxTs(�Itlrx�erxairleersfor Surveys and Maps in the State of Connecticut" as prepared _ DRAFTING - ---- 146HARTFORD ROAD.MANCHESTER,CONNECT ICUT 0611 and ado d by the Connecticut Association of Land Surveyors, FIELD EDIT — --- - -- - (203) 646 2469 Inc.,o S . tember 13, 1984. PARTY CHF. REV. _ _ .. Pl A►�► PREPn.REo OFFICE' REv DWJ 9Z ...1.... 30 TL REVISION DATE � 01 F R,. r.c.I�3?,I F'.R.....---- -- -- S. .,p-. S. # I .�,a — n No certificaf:ion is ex ffessed or implied 1 less this map bears `Q' HOR. DATUM P'1• �l Lhf- original signature and embossed seal of the above named V E R DATUM 6 F1 ® C (jFZA!JpVIF,L.I iF.PvgA.(' C: land sarvwor• — -- ;0�1 r 11 w I�.�c>soGt r H O R --- __._. N - q(� r 7 P R O J E C T I I U R K �— "�" ---- -------- SCAI E VFh IN rr ni -r., C) -