HomeMy WebLinkAboutDrain Layers Permit 21 Pine Knob Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT 0& P_A"UTION CONTROL
y South Windsor, Connecticut
DRAIN LAYER ' S PERMIT NO 486
Oct. 26 , 192_
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 21 Pine Knob Cir. .,r s 7) on the
east side, between cul—desac
at premises owned by Theodre Yonan
whose address is SAMW
and to xx 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) INDUSTRIAL WASTES, OR
Connection will be made with siu inch (6) plastic pipe
Permit to be issued to John Lamson
the holder of Drain Layer's License No. W-9206188 Permit will expire on Dec. 25 192i_.
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 Drain layer to pump, crush and hackfill septic tank
Signed '
Connection Charge Paid $1042 17- Licensed Drain Layer
Per. F:. Moniz (Sig) Issued by Ralph A. Starkweather Jr.
Tax Collector
Permit Fee: Paid $ 15.00
INSPECTION:
INITIAL (Sig)
FINAL i (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
N
a
IF
NOT SOUTH WINDSOR POLLUTION CONTROL
LOCATION 1 h/F G/2
OWNER o r 110
TYPE OF WORK
DATE o z6 PERMIT J� PIPE 24t'71-6
INSTALLERL so ry -
INSPECTOR 7-F DRAWN BY �'s'