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HomeMy WebLinkAboutDrain Layers Permit 10 Mohegan Trail TOWN OF OSOUTH WI N DSOR DEPARTMENT OF I-POUKION CONTROL B/P No.: Pal Rd. South Windsor, Connecticut List.No.: `�- 6—*04�z? DRAIN LAYER'S PERMIT N? 511 Nov. 24 , 19 73 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform 61 the work indicated below at (LO 4 0 1 /0 AtovZ4.4y 744,1& on the 48t side, between Drierl'iml(i & Onk 1 id .)t- at premises owned bye Housing nR Cnz!,U_ whose address is Calllt*r St. M8n0h*6t*r, Com. and to :+ Lay House Drain, Repair House Drain, Lay Main, Other for R1*0 (A4U1tl.*l occupancy or use, with 0110 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) p.a atic 12i2t Permit to be issued to_ J. MtUt *c the holder of Drain Layer's License No. W96-W/151 Permit will expire on ,dap,_ PER 19 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 All hOu®s newsr1a to 00 1 y*(1 at P% minumum of tc'•i F� + r r s�1 Signed r , Connection Charge Paid r; -Licensed Drein Layer Issued by ls �lrii . +: YticEt'ss;;thd�x^ Jr. Tax Collector Permit Fee: Paid $ _ 5&OU__ INSPECTION: Check Number: INITIAL 11 fr441/j 7 `� '' .t7.w? � _ (Sig) 1 II FINAL I°='r � / (Sig) APPROVED ,•``'.* �: - ��T f' (Date) (Sig) INSPECTOR teCD t t t I, M 0 I. IND OF PO Zff>Ea - Lrj LL i ae.o vi p 23• - 8.8 1 ExiST. INV. i4'5.O PERM I T PLAN LOT #61 "GREEN RIDGE" , SECTION #1 TOWN OF SOUTH WINDSOR, CONNECTICUT SCALE 1 " 40 ' L . S . #4395 Rockville , Conn . �4- .o pRoPOstr) FIN, G12, n. s s N l i l� NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION I OWNER TYPE OF WORK DATE PERMIT s/ PIPE s INSTALLER INSPECTOR DRAWN BY LCf