HomeMy WebLinkAboutDrain Layers Permit 205 Orchard Hill Dri TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Vindsor, Connecticut S c i�7¢
List No.: _
DRAIN LAYER'S PERMIT NO 813
31pol r 5 , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Lot # awwww 7-0.5 d24-.HA M /-11it_ Da tyar on the
side, between
at premises owned by mow'wit w niS 1004AALA S b&A.0-roy /h
T
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for slim*ntia
occupancy or use,
with d Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( X), INDUSTRIAL WASTES ( ), OR
Connection will be made with 8iX 11261 PLxdtl a
Permit to be issued to Rob*rt L. Davis
the holder of Drain Layer's License No. W--'-JLQ5 y Permit will expire on 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 Licensed Drain Layer ,
Issued by F: k J• Smith
Tax Collector mn
Permit Fee: Paid $ _ • ._
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
/11A�7-1-3
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NOTE LOT INFORMATION FROM SUBDIVISION PLAN OF MAPLE RIDGE PLOT PLAN OF LOT 4
ORCHARD HILL OIRIVE, SOUTH WINDSOR, 1"e40'; 5-18-73 F O R
GRIS dLD a FUSS INC. WANZA CONSTRUCTION CO. ,
- NO ZONING REGULATIONS VIOLATED
ZoS ORCHARD HILL DR I V E
SOUTH WINDSOR CONNECTICUT
O'F GONNeCT
�P�d�EN0AC' G� f HEREBY CERTIFY THIS PLAN A. BOWEN DAVIES & CO.
°F,;•, TO BE SUBSTANTIALLY CORRECT LAND SURVEYOR
"{ 96 RIDG_EWOOD ROAD
� r--
INca 6622 •��40, GLASTONBURY, CONN. 06033
kLv. SCALE u�r� a
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%SUltv6 1" -40' 7-OI74 413,2-36-4