HomeMy WebLinkAboutDrain Layers Permit 260 Orchard Hill Dri -- 75 ,_':. �` ..
TOWN OF_ SOUTH WINDSOR �w► -► 11-
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut S 1, (I I S
List.No.: _
DRAIN LAYER'S PERMIT NO 118
19 October , 1976
v1_0rchid
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at I&-Brehard Hill s on the
South side, between
at premises owned by J.V. Builders
whose address is
and to XXX Lay House Drain, Repair House Drain, Lay Main, Other
for Residential occupancy or use,
with One Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE OW, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with Six inc4 plastic pipe
Permit to be issued to Louis Damato
the holder of Drain Layer's License No.UJ9-.2 D(e 9 I I Permit'will expire on 19
The undersigned Drain Layer hereby agrees to all the terms and conditions.set forth on she 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
1032 Issued b M. Timothy Friend
Tax Collector Y
Permit Fee:. Paid $ _�•�_
INSI IECTION:, ; Check Number: -�(p J SO
INITIAL (Sig)
FINAL r ,L J�-�. - (Sig)
APPROVED �� :( _ K'. j'1,' (Date)
INSPECTOR (Sig)
?9 '
14, Z2.'
V '
Q.)
y
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION ors6j,6,
OWNER �o
TYPE OF WORK
DATE2o 6traata 14 PERMIT PIPE C
INSTALLER M +O
INSPECTOR DRAWN BY