HomeMy WebLinkAboutDrain Layers Permit 12 Pine Knob Drive TOWN OF SOU744 WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut4'�'yt:
List No.:
DRAIN LAYER'S PERMIT NO 575
19--gar—
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at (Z . raga Lar ! on the
go--j3.t, side, between livs+r►r 5:f_ t' .6A� Yiii� ell•
at premises owned by ��- �/ �s •�fG&USX
whose address is
and to _X Lay House Drain, Repair House Drain Lay Main, Other
for 2irer�c3snfii,a2 occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with—mix (6) 4gall xtimEja V$Pa
Permit to be issued to B_ P.,,al AbAT
the holder of Drain Layer's License No. Permit will expire on 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on th m t land the reverse si ed t
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid r, Licensed Drain Layer
�" 2 Issued by L+'attas.e
Tax Collector —' ` �"" � '��•
Permit Fee: Paid $ _
INSPECTION: Check Number:
INITIAL 7: ti ��^t �.. ,r y`�� (Sig)
FINAL /; j ,7 .? j' T�,� ;`; � (Sig)
APPROVED �:� '" ,, (Date)
INSPECTOR _
r s
N
� 4
j
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER v r s e
TYPE OF WORK
DATE PERMIT ,_5 -,,_i- PIPE
INSTALLER'
INSPECTOR DRAWN BY
.CoT 2 b
200, 00 , v y
0 o ti �Q o
0
>1
asp• i�r
R= 20.00'
11- 9Q=.4=p '
�. A/2 'A 20, i26, F
a. ca v.UFcr Tv ZXISr/.Ue
NO ZONING VIOLATIONS IF HOUSE
ERECTED AS SHOWN AND STAKED.
1 HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY
PROPERTY OF CORRECT AND IN ACCORDANCE WITH CLASS A-Z
OF CODE OF CONNECTICUT TECHNICAL COUNCIL. t�,�� CON CON
M.
W. M. ALFORD
CIVIL ENGINEER �, Iro. st68 a
WINDSOR, CONN. ,a� tSlEitt
eer b`��a
f'//vim' ,h-:v',��' !�.4=�✓,r_= T.-� �e-�-,-�-�-;
SCALE: I IN. _ 3a FT. DATE:,,-o,04iB,197se