Loading...
HomeMy WebLinkAboutDrain Layers Permit 165 Pine Tree Lane (2) TOWN Of ..SOUTH :WI N DSOR T M N DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut DRAIN LAYER' S PERMIT _ 96�/ Aug. 30 ' 1 gg3--- Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at tztXQ= 165 Pine tme on the West side, between Avery & Pine tree at premises owned by Russel Carnentier whose address is�8me and to Lay House Drain, Repair House Drain, Lay Main, Other for residential occupancy or use, with one (1) Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAA, INDUSTRIAL WASTES, OR Connection will be made with Six inch (6) plastic pipe Permit to be issued to John Lamson the holder of Drain Layer's License NoW9-2o61888 Permit will expire on ©ct. 3j 1 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 Drian layer to Bump, crush and backfill septic tack Signed Connection Charge Paid 108/30/7 j Licensed Drain Layer per. 1. Moniz (Sig) Issued by RftlPh A• StarkweathwJr. Tax Collector Permit Fee: Paid 45.00 INSPECTION: Check 1 t 1� 2.Q$ INITIAL (Sig) FINAL (Sig) �r APPROVED (Date) .-' (Sig) <lNSPECTOR i �3j U 1 i I I NOTES SOUTH WINDSOR POLLUTION CONTROL G LOCATION OWNER / � TYPE OF WORK 3 J DATE r a-%� PERMIT ' PIPE INSTA LER INSPECTOR DRAWN BY {='�'