HomeMy WebLinkAboutDrain Layers Permit 168 Pine Tree Lane N OF SOUTH WI N DSOR
71 -� �/G0 EPARTMEN`9 6F�POLLUTION CONTROL `
South Windsor, Connecticut
' DRAIN LAYER' S PERMIT NO 375
1 5--Attu. ---
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 168 Pine Tree on the
+e"t side, between_ pond & Benedict Lne
at premises owned by$veneet Du&ygl
whose address is eMn
and to v _Lay House Drain, Repair House Drain, Lay Main, Other ,
for rerldentiel 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 six intk (6) 1 a .fie jd=
Permit to be issued to Jobn AeL=ype
the holder of Drain Layer's License No. Wq-2e�188 Permit will expire onJ5 Oet. 1927 --.
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 ]firer tooW. enwh And baskfill Mtie tank
Signed �,f
Connection Charge Paid 08-14-23 ticensed Drain Layer
Per, 1. Monk (Sig) Issued b ph Ae Bta*weaather Jr.
Tax Collector
Permit Fee: Paid�o$15e()o
INSPECTION: Cheek # 119�.r.�.....�
INITIAL (Sig)
FINAL (Sig)
APPROVED Q (Date)
(Sig)
INSPECTOR
i
NOTES SOUTH WINDSOR POLLUTION CONTROL
C� LOCATION /' re
OWNER Fr
TYPE OF WORK Sr
DATE PERMIT s— PIPE P Xj%c
g ' INSTALLER Zl
INSPECTOR f DRAWN BY �-r