HomeMy WebLinkAboutDrain Layers Permit 0788 Avery Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT h�° ' 225
Ft-
t b ads , , 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Yz a'zo,42�# sit,"-,,+ fTr-a 4) on the
' Z. side, between K b 1 We aNd rasa° H11 I skis-NA
at premises owned by €� ::• a ,
whose address ism.
and to e' Lay House Drain, Repair House Drain, Lay Main, Other ,
for ,; ; occupancy or use,
with «n Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with W-i gals f 6rt) "Lostic pipe
Permit to be issued to . . Kw) !A,
the holder of Drain Layer's License No. Permit will expire on 74 j,"IX 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—rein Layer to gip, crush *earl backf ll @=tie task.
Signed
Connection Charge Paid —rr Licensed Drain Layer
Po-r F'* r-orid (Sig) Issued by ►£?� l i s 1Q� •
Tax Collector
Permit Fee: Paid $. -:r .r
INSPECTION: E7�'"�1l ,
INITIAL (Sig)
FINAL (Sig)
APPROVED 30&� ( JIA" 19" (Date)
(Sig)
INSPECTOR
1(*IT a Co 8t4#A Jr.
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK .Sew p r=' carver�rc
DATE 5 73 PERMIT PIPE /as .c
INSTALLER y
INSPECTOR - DRAWN B tc- CG,