HomeMy WebLinkAboutDrain Layers Permit 52 Spruce Lane �• �- TOWN OF SOUTM WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
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B/P No.: � -O South Windsor, Connecticut ,r
List No.:
S soso.S
DRAIN LAYER'S PERMIT N9 585
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Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
on the
ee.&t side, between Kelly Road and Benedict Drive
at premises owned by Ha ' Ze Miller III
whose address is e"Il e
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for >'' sidestbal occupancy or use,
with or'a 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with 6i%—ift0h (6") Plastic Pipe to $ lateral know na Staa 5+79,81 depth
of 508$io
Permit to be issued to J041A A. I�lson
the holder of Drain Layer's License No. W9--2061 . Permit will expire on 06 Aurmet 1924 .
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
Signed f ,- t-tZ
Connection Charge Paid 06-t3f*-74 Licensed Drain Layer
Per i:;. Honiz Issued by Pjw.Iyin '4Z"T'dm,z Jr
Tax Collector
Permit Fee: Paid $ _f•t,'tz
INSPEECTION: Check Number:
INITIAL / (Sig)
FINAL (Sig)
APPROVE (Date)
(Sig)
PECTOR
C 1
N
3 �gs
�2
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION RycE
OWNER R
TYPE OF WORK -
DATE PERMIT PIPE 4CVC,
INSTALLER 4- i„so•
INSPECTOR DRAWN BY �('