HomeMy WebLinkAboutDrain Layers Permit 29 Orchard Hill Driv TOWN OF�§OUTH WINDSOR �►-, z
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT er C.
N° 583
� r 06 19 A
w
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 29 ? byXd i4ill UgIVO (lot 38) on the
NOrtJk side, between -Foauw suvot & K3*,--A i c,.z "
at premises owned by +►s
whose address is r
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for ZVOUSM ." occupancy or use,
with 0" Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (1 ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with 411104ANCk (641) V*QJ* W # UtOBA 11A*ft 1110 1544 eq sit 0 414pft
Permit to be issued to AAWto. WissisWe"
the holder of Drain Layer's License No. 20 . Permit will expire on 06 AUVIAS$ 19 ?4
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
i -
Signed
Connection Charge Paid /74 Licensed Drain Layer
P" 9660 soo 3 Issued by Y7rY,arka +�K i♦ ti'`*
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL 6,1v4 4 0ii!� '�.......�..W.`.. `„'a
(Sig)
FINAL CA&e ►1 10 (Sig)
APPROVED (Date)
onr It
(Sig)
l
N
l '3
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Seale - 1 = 40' approx. LOCATION 29 Orchard Hill Drive Mot 58)
OWNER James A. Whitaker
C i TYPE OF WORK Sewer 2Maeetioa
jr- °Rn F'Q DATE 0 -74 PERMIT 3 PIPE " VGP
INSTALLER Adam (W -20
INSPECTOR ME DRAWN BY ME