HomeMy WebLinkAboutDrain Layers Permit 111 Orchard Hill Dri TOWN OF SOUTH WINDSOR .
DEPARTMENT OF POLLUTION CONTROL f `
South Windsor, Connecticut
List.No.: _:_S!!�Lo�o
DRAIN LAYER"S PERMIT 1069
22 April, , i976
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to-perform
the work indicated below at •111 Orchard Hill Drive (Lot 52) on the
north side, between Crestwood Drive & Mountain Drive
at premises owned by HAGMJN, Robert W. & Barbara R.
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 (XX), INDUS'T'RIAL WASTES .( ), OR ( ,
Connection will be made with six-inch (611) plastic' nine to a lateral known a8 Sta. 3+69.1 , at a
depth of 7.001.
Permit to be issued to Adam Wisn.iewski
the holder of Drain Layer':s License,No. W9-206,559 Permit will expire on 22 'Jurie ig 76.
The undersigned IIrain 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'
Signe ci-�
Connection Charge'Paid 04-•21-76 Licensed Drain Layer
Rec. # 957 Issued by Melvin F,dwards, Jr.
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: 406lo h--
INITIAL 44LzZ e o 9 5�9_ (Sig)
FINAL *4/27 4' of 39 /"'z— (Sig)
APPROVED 27 Ao2IL. /9710 (Date)
IN ECTOR (Sig)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 111 Orchard Hill Drive (Lot 2)
OWNER HAGELIN, Robert W R.
TYPE OF WORK House Connection
DATE o & PERMIT 1069 PIPE
y,¢ INSTALLER Adam (W9-206559)
INSPECTOR ,FL DRAWN BY