HomeMy WebLinkAboutDrain Layers Permit 19 Simcka Drive (2) TOWN bF SOUTH WI N DSOR
S : This permit now void, DEPARTMENT OF POLLUTION CONTROL
and permit fee non-returnable. South Windsor, Connecticut
b"xpiration date long surpassed.
126/71 DRAIN LAYER' S PERMIT O
�. 86
&1? 19471
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at •rds *j Z 04&A Z4/11A' on the
War side, betetsweeAwsys�Iltt,E lwos ' 1 +24#41 AyaAw4 r
at premises owned by l f,�+tL*4 i , /Into. r A �wAf!"*w V
whose address is&Qk &V 110 261*ar Not, A"LA00
and to -Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with twos Gs) Family Units, with acres.
Type of Sewage to be connected under this permit:
ANITSEWAGE INDUSTRIAL WASTES, OR
Connection will be made with Irir "Aast-iIL Ago-
Permit to be issued to DIY+ 9&044- Z#JA#s&W y
r
the holder of Drain Layer's License No.UJ!I• &*07t* Permit will expire on- 0'7 4#L%f 19*21
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and thd reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation. //��
SPECIAL CONDITIONSJ~'fMewd" A&MA AIT r#086 I-JOtt" 1► 64P ^04w!! nq.
_Q dA r* /419100A! f.ow&M*r1CN r* *44W10 tf!! 4004 tM/t 11arA^Jj!"' A4' r#A* " 0#9
AervAL e*^wdr•t*Ay4 Atl AtM►!01II&J a M" t .rtaar 2r",0AjA AtAVA/" HOWle to Mows#
Signed
Connection Charge Paid $ Licensed Drain Layer
(Sig) issued by
Tax Collector
Permit Fee: Paid $ jAr
INSPECTION: 000414 +"off•#4P3
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
.s
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N
NOTES
SOUTH WINDSOR POLLUTION CONTROL
LOCATION ,nc j
OWNER L L
TYPE OF WORK
DATE O -.�-7- PERMIT 3 PIPE
INSTALLER �a ,��,A•r�
INSPECTOR x _ DRAWN BY
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S I M C KA D R I V E PLAN PREPARED
\ ARED FOR
ALAN KLEIN
IMCKA DRIVE
SOUTH WINDSOR, CONNECTICUT
NOTE LOT INFORMATION FROM 7UDOR HILL PLAN
NO ZQNIN6 REGULATIONS VIOLATED
`0v CONN�cry
�,����«""O�y°�• I HEREBY CERTIFY THIS PLAN A. BOWEN DAVIES & CO.
e TO BE SUBSTANTIALLY CORRECT LAND SURVEYOR
96 RIDGEWOOD ROAD
�w Gssq GL.ASTONBURY, CONN. 06033
4Nd 3URr�` REV. E40'
LE vATE VHUJ. NU.
3.19-73 73-132-38!-1