HomeMy WebLinkAboutDrain Layers Permit 22 Pine Knob Circle TOWN OF $ UTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT NO 484
Oct. 25 , 19_73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 22 Plas kab Cd—r- <Lor 60) on the
Am%tb side, between_pin& xuglh Dz- LC161�AJadube
at premises owned by AQblrt Nad"u
whose address is r...4
and to XLay House Drain, Repair House Drain, Lay Main, Other
for =M4d=tj—M1 occupancy or use,
with_oal0} Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE,) INDUSTRIAL WASTES, OR
Connection will be made with . gh (btiq pj"
Permit to be issued to J• NOII
the holder of Drain Layer's License No.W¢�� Permit will expire on 19
The undersigned Drain Layer hereby agrees to all t e terms and conditions set forth on the permit nd the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS Drain 18"r to and backfill MW}iQ tank
Signed
Connection Charge Paid $10/23/13 Licensed Drain Layer
Par. Zi. XonU (Sig) Issued by &!A A. sta*wathlr Jr.
Tax Collector
Permit Fee: Paid $. 15_03
INSPECTION: OhAC$
INITIAL (Sig)
FINAL �a (Sig)
APPROVED _ (Date)
(Sig)
INSPECTOR
N
NOTES SOUTH WINDSOR POLLUTION CONTROL
I LOCATION -^� '2 � Alyag
OWNER eo,, gl) /' /N row
TYPE OF WORK 7✓Fk L
DATE t1c F2r` PERMIT PIPE
INSTALLE m o
INSPECTOR if f DRAWN BY