HomeMy WebLinkAboutDrain Layers Permit 178 Palmer Drive . -►.�tenrt�r..:+� '.y"y'S-+. �''-�'f3"' '�"".,w'a, '.^rnx.;Jrr.+�rarn�-+«".o�-.s-y.;�e.--.r�..�i�iar.7!'..sr- .. - ..... ..
TOWN `OF SOUTH WINDSOR
t`
. DEPARTMENT OF POLLUTION CONTROL B/P No.: 16-G
South Windsor, Connecticut
List No.: _SC-101 i
DRAIN LAYERS PERMIT
NO,
42.7 214 APri 1 119 76
B44
Pursuant to written applicatior,_permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 178 Palmer Drive' U ot 53) on the
mouth side; between
at premises owned by AHWT TN, Rob w ri- 4, !Z Dn m than G
whose address is RAme►
and to _Lay House Drain, Repair House Drain, Lay Main, Other
for - residential
Al occupancy or use,
with one 1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (CO, INDUSTRIAL WASTES..( ), OR ( )
Connection will be made with six-inch (6f1) 121astic Pine to a lateral known as Sta:' 6- ) 6 at
depth of 6,511
Permit to.be issued to John A. Lamson
r 4,
the holder of Drain Layer's License`No.� W4-2061888_ Permit. will expire on 29 Juna 196
The undersigned Drain Layer hereby agrees to a..11 the teims_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:
y for street excavation.
SPECIAL CONDITIONS
Signed
d,-Z-
Connection Charge Paid 01-14 7�. Licensed Drain Layer
Rec_ # 703 Issued by __ Mel.vin E'.dwnrdm. Jr
Tax Collector
Permit .pee:. Paid $ _1 rL.OS2
INSPECTION: Check Number: -23,2-g
INITIAL 6*1/300- 096V A— (Sig)
FINAL 04/3D /0 i.< (Sig)
APPROVED . 3o)%Z14- rQ?h (Date)
INSPEC (Sig)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 178 Palmer Drive (Lot 53)
Q OWNER SHEKLIN Robert A. & Dorothea G.
TYPE OF WORK House Co, ection
DATE o PERMIT 1076 PIPE s " 5
INSTALLER LamsonW _
INSPECTOR _.. DRAWN BY