HomeMy WebLinkAboutDrain Layers Permit 20 Simcka Drive (2) 'OWN OF SOUTH WI N DSOR
NM: This permit now void, DEPARTMENT OF POLLUTION CONTROL
and pezfAit fee non-retwrndbie.
Upiration date long surpassed. South Windsor, Connecticut
12/09PI DRAIN LAYER' S PERMIT NO 87
to A-4,e y 19 2L
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at for 4016i &"Adje '3.lt✓& on the
Aftar side, betweei L- alwtd W luotow of lb-A&I Jgi/"Ue
at premises owned by% Ame.0 19/0 Or i6J.00 J6V
whose address is EQ &_n- IL*&A0Uhme 1A&r&k& .b�&SWa&rAtsf 016193
and to Lay House Drain, --Repair House Drain Lay Main, Other ,
for t - 116 occupancy or use,
with S",& 461 Family Units, with acres.
Type of Sewage to be connected under this permit:
N�
NITARY SEWAG ' pp INDUSTRIAL`WASTES, OR
Connection will be made with A /0,A2 se44 &dr
Permit to be issued to•'"!F7d 1bQ&a !'.Arm
the holder of Drain Layer's License NoV!)w 100!2!06 Permit will expire on 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and t'fi rem side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation. AA�
SPECIAL,.CONDITIONSJ°�f& remdr tf. & a,e p ji as Afgkjt&
•+0 S.'IA •ee! #A&A or ¢.waWrraW -to r�W JAWA a My 92 Arr. -&A
1�.-- eslt• �� �.l�l�ltlTlawJ dNAt+fif w1�t�T iQ� �AI�®�It/' /�lllr�LJ�I f• /+�Ga=�•
Signed
Connection Charge Paid $ Licensed Drain Layer
(Sig) issued by --�� -
Tax Collector ----t
�I Permit Fee: Paid$
INSPECTION: eww ,K
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 4 Or.
OWNER F.41
Fib
TYPE OF WORK
DATE 7 ERMIT o PIPE 1,0L/9.ri/c
INSTALLER
INSPECTOR e f l DRAWN BY r ff'
f
i
32 �9�
26744... SO FT.
PLAN PREPARED FOR
ALAN KLEIN
SIMCKA DRIVE
- SOUTH WINDSOR , CONNECTICUT
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M+ NOTE LOT INFORMATION FROM TUDOR HILL SUBDIVISION PLAN
' NO ZONING REGULATIONS VIOLATED
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# END,4YfcGA 1 HEREBY CERTIFY THIS PLAN A. BOWEN DAVIES & CO.
TO 8E SUBSTANTIALLY CORRECT LAND SURVEYOR
e 96 RIDGEWOOD ROAD
GLASTONBURY, CONN. 06033
REV. SCALE iJnTE P-.OJ. NU.
3URVE' 1" s 40' 5-18-73 73-132.3&32
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