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Drain Layers Permit 62 Hazel Street
TOWN OF SOUTH WI N DSOR ` mat `' ''�" DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut Se-0797 List.No.: _ DRAIN LAYER'S PERMIT p 97 8 7s� S3� —� 31 Oetnber , 19-2 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 62 Hamel Street (Lot 31) on the south side, between Pol)3 nr Drive and Novara Rana whose address is same 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: SANITARY SEWAGE (g), INDUSTRIAL WASTES ( ), OR ( ) Connection will be made with six-inch (P) plastiC pipe to a lateral known as Sta. 7+73.9. at a depth of 6.0'±. Permit to be issued to Adam Wiffiii ewakki the holder of Drain Layer's License No. W9-206559 Permit will expire on 31 December 19-25. 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 zwvs, Connection Charge Paid 10-01-�75 Licensed ran ayer Rec. # 863 Issued by Melvin Edwards, Jr. Tax Collector Permit Fee: Paid $ _15.00 INSPECTION: Check Number: 3961 INITIAL ZA/� P © .... (Sig) FINAL 1013/0/1-dj< (Sig) APPROVED 31 October. 1975 (Date) (Sig) 9 INS 1t 3