HomeMy WebLinkAboutDrain Layers Permit 128 Oak Street TOWN , S0UT14' ,. *1 N 6S0
DEPART fNT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.: 20-E
List.No.: SG/O9 S
DRAIN -LAYER'S PERMIT 7a 1135
PL A„o'imt , 19_7_
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at -1 8 Oak Street (Le 4) on the
Rant side, between Wandland Drive and. Town park
at premises owned NE,, Wal clan J. & Lucille
whose address is Same
and to X 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 ,(X), INDUSTRIAL WASTES .(' ), OR ( )
Connection will be made with Ri_x-inch .(6") nlantie+ pj joe to A lateral known as Sta. 15+62,
Rt A dat�th"Af �.nt:±.
Permit to be issued to Adam Wisniewski
the holder of Drains Layer's License No. :W9-206559 Permit will expire on.' 24 October. 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
Y "
An
Signed )rj,
.Connection Charge Paid' 0$-24-76 Licensed Drain Layer
Rec. ## 1013 Issued by Melvin Edwards Jr.
Tax Collector
Permit Fee:. Paid $ __15ftDQ
INSPECTION: Check Number:
INITIAL (Sig)
FINAL ogs(o (Sig)
APPROVED Zs A 4 e u Sy' /9 7 4 (Date)
�.� (Sig).
INSP TOR
{
f
N
I
I
,
5
Cd
t a
SI,ZS
D��pl►
I
NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 128 Oak Street Lot 24
OWNER LENENTINE Waldon J. & Lucille G `
TYPE OF WORK
DATE 8-2s- 6 PERMIT 213.5 PIPE D"AA s
INSTALLER Ad W =
INSPECTOR DRAWN BY