HomeMy WebLinkAboutDrain Layers Permit 777 Pleasant Valley TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
List No.: V6/010 Z
DRAIN LAYER'S PERMIT
12 , 1063
y �
TCali 19 April 119 76
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to-perform
the work indicated below at 777 P1rnr-.n t Val.1 ear Rond on the
r,nijth side, between Lonsr Hi 11 RoAd & `l ulor Hill 1 Road
at premises owned A. & Juli a C.
whose address is stu''e
and to Lay House Drain, Repair House Drain, Lay Main, Other
for rern.dential
occupancy or use,
with one (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (XX), INDUSTRIAL WASTES OR ( )
Connection will�be made with Six-'--nc)l (6«) pla-s tic pipe to a literal known as Sta. 62+8t:;.., t 8
JePth of
Permit to be issued to Adam l'lisniewski
the holder of Drain Layer's License No. W9-2 06559 Permit will expire on 1 n June
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 U Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed / 1' f� fir:"Lti� � _ (/' ��/���(•'t f�< �J�,'�-�
Connection Charge Paid _04-19--i6 Licensed Drain Layer
Issued by i -%1vin 3adwri ds Jr
Tag Collector
Permit Fee:. Paid $ _ 15.
INSPECTION: Check Number: IT-59 ,_
INITIAL - a412D 0 0 9 z 7 (Sig)
FINAL (Sig)
APPROVED Zp k1tiG 1976 (Date)
A, cc iJD (Sig)
INSPECTOR
�• M
N
14s12z
ter.
NOTES SOUTH WINDSOR POLLUTION' CONTROL
Drawing not to scale. LOCATION 727 Pleasant Valley d
OWNER LASKY Walter A. & Julia C.
TYPE OF WORK
DATE PERMIT 106Z PIPE
INSTALLER Adam W9-20 559
INSPECTOR DRAWN BY