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HomeMy WebLinkAboutdrain layer permit 75 Sharon Drive TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL gip No.: South Windsor, Connecticut g�llOZ List.No.: _ DRAIN LAYER'-S PERMIT NO 1150 19 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to-perform the work indicated below at �:' ` 4A&=:�22 AU/L on the side, between at premises"owned by whose address is and to Lay House Drain, Repair House Drain, Lay-Main, Other for occupancy or use, with Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE ( ), INDUSTRIAL WASTES .( ), OR ( ) Connection will be made with Permit to be issued to the holder of Drain Layer's License No. ., - i Permit will expire on 19 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 i >t. Connection Charge Paid '"' Licensed Drain Layer Issued by Tax Collector Permit Fee: Paid $ INSPECTION: Check Number: , INITIAL (Sig) FINAL ir (Sig) APPROVED ! `� � (Date) (Sig) INSPECTOR w • N LoT `f' NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION Lm 4 OWNER TYPE OF WORK DATE 07 PERMIT I o PIPE'S �. ------INS TALLE R. - n e -- - ---- --------- INSPECTOR � DRA BY -I �i j'�I('�!1 /�.G."(,�/�[%'�i`/.� CJ'G'.L�.�'o`%y%yC III C'Jj'f,.',✓c:�.x' /�• �i Cam. "J�9.L✓fi�eG%�:.� �/�G7i^./�^'7.'� i�'R`. ' y 1�0 ��'Y�.' �°Ip.. / /7.Y.+,,t 1'�iy+l./ /•�•V. `/.�'6..f.y y, 7 t \ ,I- -�" •.. � n*� .��C��Jti,� ./1l✓/L�w, w N � �` e''•`-�, ?�t � "ems A� `� ^a r n 79,0 L'�'/✓� z6 3,/Z _ NO ZONING VIOLATIONS IF PIOUS ` 7� �'' REGTED AS SHOWN AND STAIt>rD<,. . tw • ,:•.,, .. . _ „�..� » .- r% I HEREBY CERTIFY THIS'MAP TO BE SUBSTANTIALLY PROPERTY OF r CORRECT AND IN ACCbRI�ANCE WITH CLASS A- *''• OF CODE OF CONNECTICU'l TEC14NICAL, COUNCIL. ` Q�i Cott# A C ®UiL©�148 , 1 w w No.21. CIM MINEERs f WINDSOR•CONNECTICUT SOUTH "WIN SOR CONN , 4 SG/1LE: t M. 40 F1". DATE:✓ucY�3, 19TG ' TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, cONN. o6074 DEPARTMENT POLLUTION CONTROL Date . • • The Sanitary Sewer . . :X. . Septic System . • • • • • . ' at . . . . . . . . . . . . . . . . . . . . or . . . . . . . lot #. . . . . . : has been installed and completed rith the Town of South Windsor ordinances in accordance w and regulations. Accepted and Approved Date By