HomeMy WebLinkAboutDrain Layers Permit 177 Pine Knob Drive (2) Tc
TOWN OF SOUTH -WINDSOR
DEPARTMENT OF POLLUTION CONTROL
4.rldob South Windsor, Connecticut
List No.: 8-6M40
DRAIN LAYER'S PERMIT N? 211
21 mom may , 19 23
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 127 Ne Kwb Drive on the
Oat side,XX)M aopuer of ftne Knob Drive and Dogwood Lase
at premises owned by C. Beanit
whose address is irlif
and to XLay House Drain, Repair House Drain, Lay Main, Other
,
for resideatial occupancy or use,
with me 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
f SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with Md.Z—Inch (`e) WAstig Vigg
Permit to be issued to ftwwis Ro Kuds&
the holder of Drain Layer's License No. Permit will expire on cam'1 JU1' 19
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 Dry IdW*r to ptAps eru" ald bookfill Mptia t*Xk,
Signed "i.' ,..._ le, " 1�..-
Connection Charge Paid 05-10-73 Licensed Drain Layer
Per go Movie Melvin Ndwardir Jre
(Sig) issued by �
Tax Collector
Permit Fee: Paid $ 15e00
Ck"k Numbers
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED 9 1� (Date)
1 Harney W9 Le"ek (Sig)
INSPECTOR
v
�77
I �
N
NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawixg xot to kale. LOCATION 17Z Pixe Kxob Drive
OWNER Jermoe C. Bexoit
A 27 TYPE OF WORK Sewer Coxxeetiox
B 31 DATE 0 —17-73 PERMIT 211 PIPE61' Plaat,
INSTALLER Kuezai
INSPECTOR HW'L DRAWN BY