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HomeMy WebLinkAboutDrain Layers Permit 44 Simcka Drive (2) MOTE; This pooh now void - and permit fee non-returuablOWN OF, SOUTH WI N DSOR xration date 10ng surPaseed-DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut DRAIN LAYER' S PERMIT No 90 to AA4 19 _ Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 4.43T 30 S-C ss*4014 `bdwr on the fAcIr side, between &,rj4wiwW "basg4tj 21&jA[„062Mrw1tJr at premises owned by"r Doe dt L L.! tom.JF jj,' whose address is PC t6ov t'�► 114s W a A4,02—IF4 619 OPAPur ©&I* A* and to Lay House Drain, Repair House Drain Lay Main, - Other , for lAr1#AEwet#Al. occupancy or use, with dAtsp lea I Family Units, with acres. Type of Sewage to be connected under this permit: NITARY SEW E INDUSTRIAL WASTES, OR Connec ion will be made with it Niti43!'/L Permit to be issued to IMat DOA t .E7w�t7�Jt 1t the holder of Drain Layer's License NoAd* S#O TOO Permit will expire on m Jeukf 19'1� The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and a r�side thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS SANAr AA 04ro err 66 Signed Connection Charge Paid $ Licensed Drain Layer (Sig) issued by Tax Collector Permit Fee: Paid $_/jr 12 INSPECTION: C4i*e,t No.'s' INITIAL (Sig) FINAL (Sig) APPROVED (Date) (Sig) INSPECTOR e 4 • N , NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION OWNER TYPE OF WORK DATE —.27— PERMIT / PIPE c;71(� INSTALLER ,P r„�,• rl//' INSPECTOR f DRAWN BY /�3 N 240-19'-35"E y.06• 30.00' 3Z •� --N 30-39:I3 E 22.00 66 041 Z4�. (!5 N � a a s , 0 C a W M y W PLAN PREPARED FOR y - ALAN KLEIN f �+ SIMCKA DRIVE - SOUTH WINDSOR, CONNECTICUT 46.07' 1s66.93, NOTE.LOT INFORMATION FROM TUDOR HILL SU®DIV N t 5 40-00'-00"E NO ZONING REGULATIONS VIOLATED I s �I- SIMCKA DRIVE 4�CONIC ` I HEREBY CERTIFY THIS PLAN A. BOWEN DAVIES & CO. TO BE SUBSTANTIALLY CORRECT LAND SURVEYOR ` 96 RIDGEWOOD ROAD - ���.� GLASTONBURY, CONN. 06033 (y♦ REV. - . SCALE I:A7E Pn JJ.. Nti. 1" • 40' 3.IS.73 n.IU.aes6