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TOWN OF SOUTH WI N DSOR ' f
DEPARTMENT OF POLLUTION CONTROL 23-H
B/P No.:
South Windsor, Connecticut
List.No.: .S6/02O
47,7
—
DRAIN LAYER'S PERMIT Np 1089
13 Mav , 19 76
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at 81 Hillside Drive} (Lot 8 ) on the
West side, between
at premises own d by AMEN, Willi am H. Estrici2 A.
whose address is same
and to X ` Lay House Drain, Repair House Drain, Lay Main, Other
forresi ent al occupancy or use,
with orie (1-) Family Units, with - acres.
Type of Sewage robe connected under this permit:
SANITARY SEWAGE (CX), INDUSTRIAL WASTES .( .), OR ( )
Connection=wi-ll-be-made-with--six inch-f tart-is--sty 0*91 55-.—at a
depth of 64-511.
Permit to be issued to Adam Wisniewski
the holder of Drain;Layer's,License No., W9-24659 Permit will expire on , 13 July 19 76.
The undersigned.Drain.L. hereby agrees-"to all the terms and conditions set forth on`t a permit and the reverse side -
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS. Drain Layer is .to note that 'as-builts show underground cable in
the area of the lateral and that the- water main is located 6n this aide q the street.
Signed _ 44,
Connection Charge Paid. 05-13-76 Licensed Drain Layer
�_Ree.- -976 --- - Issued by Melvin Edwards, Jr.
.Tax Collector
Permit Fee:. Paid$ _ 15.00
- - INSPECTION: Check Number:
INITIAL o.S J17 Q 694a Q� (Sig)
FINAL so �7 e ./3/.� /� (Sig)
—r
- . APPROVED IV4 i 9 7 G (Date)
--- - _ (Sig)
INS OR
K .
N
s.
01
19
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 81 Hillside Drive (Lot 8 )
OWNER ABORN William H. & Patricia A.
TYPE OF WORK House Connection
DATE s rT 7 PERMIT 1089 PIPE es°f A S
INSTALLER Adam (W -206 )
INSPECTOR A— DRAWN BY