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HomeMy WebLinkAboutDrain Layers Permit 125 Mohegan Trail TfARTMENT OF SOUTH WI N DSOR OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut S, 0�a/ List.No.: _ DRAIN LAYER'•S PERMIT 1068 22 Arri]. , 19 r Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to-perform the work indicated below at 12" •iolieran Tr,11 (Lot -�1) on the side, between at premises owned by t;`:P. whose address is and to Lay House Drain, Repair House Drain, Lay Main, Other for :^�Y.,i'lentinx.l occupancy or use, with or.�s (1) Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE ), INDUSTRIAL WASTES .( ), OR ( ) Connection will be made with>-six—j.nch Permit to be issued to the holder of Drain Layer's License No. 1•-.)79'; Permit will expire�on 22 Jumn 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 Signed Connection Charge Paid ,}!�...i -._ }c; Licensed Drain Layer Issued by a•c'. t Tax Collector Permit Fee:. Paid INSPECTION• Check Number: INITIAL (Sig) FINAL f27 /34� %�z_ -- (Sig) APPROVED Z. ^2/L /976 (Date) (Sig) INS CTOR N E" �i NOTES SOUTH WINDSOR POLLUTION CONTROL Drawing not to scale. LOCATION OWNER U&R TYPE OF WORK House Connection DATE 4 z PERMIT io68 PIPEG "AD S INSTALLER Bele W -20 INSPECTOR DRAWN BY 4; Permit # 1060 TOWN OF SOUTH ViWINDSOR TOWN HALL SOUTH WINDSOR, CONN. 06074 DEPARTMENT POLLUTION CONTROL Date . . .2?_ April, 19"6. . . . . . The Sanitary Sewer . 7,t . . . . . Septic System . . . . . . ... at 125 iiOhegan Tra-ia: . . . . . . . . . . . . or lot #. . 31. . . . . . . . . . .. has been installed and completed in accordance with the Town of South Windsor ordinances and regulations. Accepted and Approved r �:lwr, By:%Melvin :'Avi rd r. Date 1z71?6 Sanitary Ins