HomeMy WebLinkAboutDrain Layers Permit 20 Pine Tree Lane TOWN OF -tOUTH WI N DSOR
1p DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut S _ �U J f
DRAIN LAYER' S PERMIT N? 428
rapt. 24 , 19 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 20 Pin* Tree La' on the
West side, between Bemediet & Goodhill Rd*
at premises owned by Lawerea*e Duperres
whose address is am*
and to Z Lay House Drain, Repair House Drain, Lay Main, Other
for reeideatial occupancy or use,
with k one M Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE INDUSTRIAL WASTES, OR
Connection will be made with six iseh (6) plastie pipe
Permit to be issued to JoIn Lameoe
the holder of Drain Layer's License No. "-206188 Permit will expire on Nov. 19 73
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 Drais Layer to pomp, *rush tad baekfill septic tank
Signed
Connection Charge Paid $ 09-18-73 Licensed Drain Layer
Per. Be loais (Sig) Issued by Ralph A. JJEt i4tweather dr.
Tax Collector
Permit Fee: Paid $ 1500
INSPECTION:
Chamk # 124g
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INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
Qc/ 7Y (Sig)
INSPECTOR
.s .
N
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1
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DATE 2/ ` PERMIT Z- -" ' PIPE
INSTALLER
INSPECTOR DRAWN BY :a-'�