HomeMy WebLinkAboutDrain Layers Permit 69 Pine Knob Drive (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT 014LUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT NO 487
Oct 26 , 197_
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 69 Pine Knob Dr• on the
south side, between Avery & Mur= Rd.
at premises owned by Rehar _ Mmnsan
whose address is RWe
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for reeddential occupancy or use,
withone 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with six inch (6) plastia 'pIpt
Permit to be issued to _ Jahn Lamson
the holder of Drain Layer's License No. w9-2061$8 Permit will expire on Dee 26 1
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse slie
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS Drain layer to hump, crush and backfill Septic tank
Signed.
Connection Charge Paid $10125�3 ,' Licensed Drain Layer
per. E• Moniz (Sig) Issued by Ralph A. Starkweather Jr.
Tax Collector
Permit Fee: Paid $ 15.00
INSPECTION: Check #_ 1312
INITIAL ��//S Zz.z t7 o 10110_? (Sig)
FINAL _��/ / .' p a (Sig)
APPROVED I (Date)
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INSPECTOR
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,`� 1 d L)
Syr
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION Cl �,Il /f va
OWNER pfohgx7,
TYPE OF WORK
DATE ac PERMIT PIPE L�roiG
INSTALLER' 4 nl
INSPECTOR DRAWN BY