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HomeMy WebLinkAboutDrain Layers Permit 061 Bayberry Trail i TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut U.11 24. List.No.: _ DRAIN LAYER'S PERMITd if 67 15 November , 19 7E Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at �-4& Bayberry Tamil (fl on the a North side, between at premises owned by U&R lIn �ain� whose address is and to XX Lay House Drain, Repair House Drain, Lay Main, Other for Residential occupancy or use, with One Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE (XX), INDUSTRIAL WASTES -( ),.OR ( ) Connection-will be made with Six inch 'Plastic pie Permit to be issued to James Beley the holder of Drain Layer's License No. Permit will expire on 15 Decemb.e_r , 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 Connection Charge Paid 2,Z �' ; '� Licensed Drain ayet e Issued by M a Timothy Friend Tax Collector Permit Fee:. Paid $ INSPECTION: Check Number: INITIAL J`/ (Sig) g FINAL r L+ (Sig) APPROVED j (Date) 1 INSPECTOR t N 7 �er✓ �rs�� NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION L.6'4G OWNER U TYPE OF WORK Wove K;m-r Aualo% DATE IC AJwf &, PERMIT Itco PIPE -PvCC INSTALLER *lames eede4 INSPECTOR f;-%,a—A DRAWN BY TOWN OF SOUTH WINDSOR TOWN HALL SOUTH.WINDSOR, CONN. 06074 DEPARTMENT POLLUTION CONTROL Date /� , z �. l sr. l.4°. . . . . . . The Sanitary Sewer k. . . . . Septic System . . • at . . . . . . . . �• :�. . . . . . . . . . . . . . . . . . . . . . or lot # 4 has been installed and completed in accordance with the Town of South Windsor ordinances and regulations. Accepted and Approved By ` t .t`9 Date ' /,rc 2 t �''1 76.