HomeMy WebLinkAboutDrain Layers Permit 155 Pine Tree Lane (2) TOWN 0 `SOU } aHl N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
Lint No.: 3-60163
1st tram, DRAIN LAYER ' S PERMIT N? 214
ry a ry R
14ky , 19 r.
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 155 Pine Trea Leta (1 t 61) on the
host side, between
at premises owned by Artinir J. filalg,`j. Jr.
whose address is aig
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for residential occupancy or use,
with on* (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—inch (611) ;7l€Jtpiti+ pipes
Permit to be issued to o ola A. Lmnon
the holder of Drain Layer's License No. W9" 1cks Permit will expire on 2 JULY 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 is Layer to pwpq ai'tlM awl boakfill septic taAke
Signed
Connection Charge Paid 05-18—?3 Licensed Drain Layer
For S. Nomis (Sig) Issued by 14alVljt BclwaErdis, Jr.
Tax Collector
Permit Fee: Paid $ 15900
Check: Ntubeer: 10f.�
INSPECTION:
INITIAL,,&!--= (Sig)
FINAL (Sig)
APPROVED 30 Mus 1973 (Date)
M4 milk (Sig)
No
LAM SO ✓ {
30
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER r c,,- J
TYPE OF WORK k;Pj cfPcT,o.nf
DATE n?0. 30 73 PERMIT Q,1 y PIPE (," its
INSTALLER q,,,
INSPECTOR DRAWN BY lMe, s7�e