HomeMy WebLinkAboutdrain layer permit 78 Sharon Drive M TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut S 1 I og
List.No.: _
DRAIN LAYER'S PERMIT NO 1151
(p CO-CT , 19 7
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
on the
side, between —
at premises owned by u
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. 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
Connection Charge Paid Licensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: ,
- INITIAL (Sig)
FINAL (Sig)
APPROVED— . `� (Date)
(Sig)
INSPECTOR
N
1
Let 4
1
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION Lin
OWNER
TYPE OF WORK
DATE 61 Cob ast PERMIT ItSt PIPE —t ve
-- - _INSTALLER_kltfb - - - - - - - - -
INSPECTOR DRAWN BY
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NO ZONING VIOLATIONS IF HOUSE
ERECTED AS SHOWN AND STAKED.
l HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY .
PROPERTY O F CORRECT AND IN ACCORDANCE WITH CLASS A-
OF CODE OF CONNECTICUT TECHNICAL COUNCIL. �C,�� CONNE�j
1 M. /
R & C B U I L D E R S INC .
CIVIL ENGINEEN woo Na 2163 yr*
. � �stSSE+tE a
WINDSOR•CONNECTICUT �/ p
L,OT - `�r,'Fl.�'o�/ . oC'/N SOUTH W1NDS0R COt4N ,� Qlnoer bV
SCALE: 1 IN. 40 FT. DATE:✓w—W
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TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . . .. . !` . . ��. . . . . . . .
The Sanitary Sewer . . . . Septic System . . . . . . . . . .
at � . . """•
or lot #. . . . . . . . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
By Date