HomeMy WebLinkAboutDrain Layers Permit 175 Pine Tree Lane �` TOWN OF SOU 1# WI N DSOR
DEPARTMENT OF* POL�
,. ION CONTROL g-460249
361 - #0
South Windsor, Connecticut
DRAIN LAYER' S PERMIT N? 343
A Jidy , i 9 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 175 Piaf Tres Lzs Mist M) on the
West side, between Mrusi+ 7. J r4,lt Ady*
at premises owned by 2,TA /fie ay, =
whose address is ssY!
and to Y Lay House Drain, Repair House Drain Lay Main, Other
,
for reaid,ats tial occupancy or use,
with @a* W Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGI, INDUSTRIAL WASTES, OR
Connection will be made with si3b.isah (ga) 10 itPL"
Permit to be issued to JOB As lama
the holder of Drain Layer's License No. W 188 Permit will expire on 19 0
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the pe� rmiF and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS DIU" TWfr t* PW* a 1%0 YJ bank= Nptif t ak.
NMI SN Waaal"r attud" us asap* a part of tkis Abe
Signed
Connection Charge Paid *7—$J/••?3 Licensed Drain Layer
Por 3. X"Is (Sig) Issued by NOIT" NVUAB. Jr.
Tax Collector
Permit Fee: Paid
Cko* X irbor:
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED 41 (Date)
(Sig)
INSPECTOR
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NOTES G /U SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER �; �,r : e`:• «
TYPE OF WORK T ,sa
DATE 0 --.2 PERMIT PIPE
INSTALLER �,f0
INSPECTOR 'S DRAWN BY f-1
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7
Town Hall, 1540 Sullivan Avenue, South Windsor, Connecticut 06074
WAIVER
WHEREAS, David A. Skermax of Soutk Wixdsor, Coxxeeticut desires to eoxxeet kin
premises at 175 Pixe Tree Lax* to tke saxitary sewer system of tke Towx of Soutk
Wixdsor, axd
WHEREAS, because said David A. Skermax kas erected a buck porek over tke
kouse sewer leadixg to kin septic taxk, axd
WHEREAS, ix order to coxxect said kouse to tk* saxitary sewer system it will
xow be xecessary to make said coxxeetiox to tke oraxgeburg kouse sewer, axd
WHEREAS, said coaxeetiox in xot ix aceordaxce witk commoxly accepted practices
axd may ix tke future result ix sewerage backup witk resultixg damage to tke premises;
NOW THEREFORE, ix coxsideratiox of tke Towx of Soutk Wixdsor permittixg said
David A. Skermax to coxxect to tke saxitary sewer tkrougk use of tke oraxgeburg
kouse sewer, tke said David A. Skermax, for kimself, kin keirs, executors axd
ansigns kereby agrees to kold tke Towx of Soutk Wixdsor karmlens from axy axd all
claims for damages of any mature wkatsoever resultixg from or attributable to tke
eoxx*ctiox above mextioxed.
Dated at Soutk Wixdsor, Coxxectieut tkis 25tk day of July, 1973•
t
David A. Skermax