HomeMy WebLinkAboutDrain Layers Permit 121 Mountain Drive 8-D/ tOWN FOF S ` l H W1NDSOR
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;DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
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DRAIN LAYER'S PERMIT XO 238
3E? !t , 19_ 3
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 121 Noftu u:mvle (lot 35) on the
1101-0 side, � ' dt IISOL= 'ai" lit Q1'ii�faD 3Zlrir�r
at premises owned by V111 f20 A_ Mitt�+�...
whose address is as"
and to I Lay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
with a" 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE) INDUSTRIAL WASTES OR
Connection will be made with a
Permit to be issued to AdM �.�11
the holder of Drain Layer's License No. wT" Permit will expire on ft 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 Amin r to MMs ah AwA baskI411
r
Signed U
.S_4,
Connection Charge Paid " ' Licensed Drain Layer
�e (Sig) issued by Mom. Iftufts. Jr,
Tax Collector
Permit Fee: Paid $ 1540
Ke>NabsPsf 331
INSPECTION:
INITIAL (Sig)
FINALr~ .+...'.'."�" (Sig)
APPROVED 31 1M (Date)
(Sig)
INSPECTOR
r
1
NOTES SOUTH WINDSOR POLLUTION CONTROL
Seale: 1" = 40, approximately LOCATION 121 Mouxtaix Drive (Lot )
A is located six (6) feet straight OWNER William H. Atkixsox
out from fouada.tiox directly ix lixe TYPE OF WORK Sewer Coxxectiox
with eoxerete step footer DATE 05-31-73 PERMIT 238 PIPE 6" V.C.P.
INSTALLER Adam (W97206559)
INSPECTOR ME DRAWN BY ME