HomeMy WebLinkAboutDrain Layers Permit 79 Hayes Road pro* TOWN OF SOUTH WI N DSOR •
DEPARTMENT OF POLLUTION CONTROL B/P No.: 14-H
South Windsor, Connecticut
List No.: S&ms'8Z -
DRAIN LAYER'S PERMIT NO 715
01 Nnvemhsr , 19 74
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 79 lfa:teA; Road C L.T- &,�
on the
SOut11 side, between Locust Drive and Poplar Road
at premises owned by 1`n=ond B. Trunch
whose address is slime
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for residentinI
occupancy or use,
with One (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with six--inch (6") 'Plastic pipe to a lateral known as Sta. 9+58, at a
depth of 6.01%
Permit to be issued to JOlin A. Lamson
the holder of Drain Layer's License No. wg-206188 Permit will expire on 01 Jariva 19)5.
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit 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 10-31—�/4 Licensed Drain Layer
Receipt 1*. 6117 Issued by I-Ielvin I4uards, Jr.
Tax Collector
Permit Fee: Paid $ _ 15e00
INSPECTION: Check Number:
INITIAL ��/04 G nggT, (Sig)
FINAL 11 <4 I Yb 6 -�Z --► (Sig)
APPROVED 64 ��v✓F,N/3E2 /97¢- (Date)
(Sig)
INSP9ftOR
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