HomeMy WebLinkAboutDrain Layers Permit 86 Highland Drive TOWN OF SOUTH WINDSOR - f-- A
DEPARTMENT OF POLLUTION CONTROL gip No . '�Ow.F
South Windsor, Connecticut
List No.: _ S(-0-7 9-
0r DRAIN LAYER'S PERMIT N? 907 a
06 August , 19_7
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 86 RLAIMd Driv a (tat 951 on the
VAMt side, between_ 0jkAStr9et & DOI;Wggd tine
at premises owned by � 1 , Ve111e L JOYCE- C,
whose address is ester!
and to XX 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 (Z ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with jdX-4nob (6") .atia Idjo to a lateral knom na Al at a
depth of 6.,0+±.
Permit to be issued to Adam Vimimie i
the holder of Drain Layer's License No. 2Q6g� Permit will expire on 06 0otober 19 75 -
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
6 Signed
Connection Charge Paid 75 Licensed Drain Layer
Receipt Noe $32 Issued by Nelviu Ww""9 Jr*
Tax Collector
Permit Fee: Paid $ _�00
INSPECTION: Check Number:
INITIAL Zdcd Cry/g� (Sig)
FINAL 1466 (Sig)
APPROVED n6A. c 97S (Date)
(Sig)
IN S,YEICr 0R
N
z
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 8G T e,,I-, �
OWNER W, �; AA 4- p T-r
TYPE OF WORK Sen.4e
DATE PERMIT 9,o7 PIPES"
INSTALLER
INSPECTOR --- DRAWN BY