HomeMy WebLinkAboutDrain Layers Permit 050 Ayers Road S
--- TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.. =
DRAIN LAYER'S PERMIT
O Ii
54
08 October /.j 0 19 76
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 5') ;tyers ;fit',,. �6 - on the
',iorth side, between
at premises owned by Josenli Intl Pancy Rice
whose address is
it Y,e"
and to { Lay House Drain, Repair House Drain, - Lay Main, Other
for PE iaen':il_ occupancy or use,
with One Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (�;,,j, INDUSTRIAL.WASTES ( ), OR ( )
Connection will be made with Six Inch Plastic Pi-)(,'
'J�.to.�;a�s erislc r
Permit to be:issued.to � . A.
the holder of Drain Layer's License No. Permit will expire or& Novg�tbi:� 19
The undersigned Drain:Layer hereby agrees to all the terms and conditions st forthe on the permit and':the reverse side
thereof. Applicant has received,Town Permit No. and/or C H ID.Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed V2, "
Connection Charge Paid 0? October 76 - — Licensed Drain Layer ? '
10?9 Issued by M. Timothy Frieiirl
Tax Collector
Permit Fee:. Paid $ 15.00
RISPECTION: Check Number: ,
INITIAL i (Sig)
FINAL f % It. 1 n (Sig)
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APPROVEla € (Date)
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(Sig)
f ' ", i INSPECTOR
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