HomeMy WebLinkAboutDrain Layers Permit 016 Ash Road TOWN OF SOUTH WINDSOR `
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.: Z
DRAIN LAYER'S PERMIT 694
, 19 74
Pursuant to written applicatior,permisson is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at .116 AA on the
side, between l
at premises owned by N,t IM L At M=NM -
whose address is
and to �Lay House Drain, Repair House Drain, Lay-Main, Other
for a SaKaloccupancy or use,
with 010 Family Units, with acres.
Type of Sewage to be connected under this,permit:
SANITARY SEWAGE (x j, INDUSTRIAL WASTES .( ), OR
Connection will be made with 411111" j to i USW4 Imm is Sue, 0 at
Permit to be issued to A•
ZIMM
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 t e reverse side
thereof. Applicant has received Town Permit No. and/or'C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
• f
Signed ` � � �r
Connection Charge Paid 00 Licensed Drain Layer
Issued by '.1 3101011184111# J**
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL/d/ h 5 ''+ (Sig)
FINAL /C! �yjr+GL.....-� (Sig).
APPROVEDS `dc�r-�` �r
(Date)
-fry,,•-��� � (Sig)
INSPECT