HomeMy WebLinkAboutDrain Layers Permit 23 Raymond Road TOWN OF SOUT-If WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT N? 389
Aug. 24 17j3
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at23 Rcywnd Rde on the
north side, between Avery & Benedict
at premises owned by Carl J. Lynch
whose address is ewe
and to X 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 SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with six inch (6) plasti* pipe
Permit to be issued to John A• Lfaonn
the holder of Drain Layer's License NO..q," i88 Permit will expire on Oct 24
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 Drain layer to pmp, *rush and backtill septic tank
Signed
Connection Charge Paid $08-23-73 Licensed Drain Layer
Per. &. Monia Ralph A. Starkweather Jre
Tax Collector (Sig) Issued by
Permit Fee: 1paik s 15.00
IICc II�F..........�...�.
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED � �� (Date)
(Sig)
INSPECTOR
,23 �
Pc=QT"
A
1
NOTES SOUTH WINDSOR POLLUTION CONTROL
C/oLOCATION
OWNER
TYPE OF WORK feAl
DATE _ 7- PERMIT PIPE s i�
9 INSTALLER
INSPECTOR RS DRAWN BY J