HomeMy WebLinkAboutDrain Layers Permit 146 Beelzebub Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.: _6 1 y
DRAIN LAYER'S PERMIT NO 1496
-pt , 19 _
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at �7 �G/'Z e,(�Iei.DA� on the
side, between
at premises owned by— -im �livgE G4
whose address is .S 2zm y-
and to --%�,_Lay House Drain, Repair House Drain, Lay Main, Other
for QES/,2Ei11 T/AJ- occupancy or use,
with DNS Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ()(), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with 6 ,f 1�YG
Permit to be issued to DA)" 6V 191V/ &2,k/
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.
Connection Charge Paid A I� Licensed Drain Layer
1 —/— If Issued by
Tax Collector
Permit Nee:. Paid $ _�
INSPECTION: Check Number: ��
INITIAL (Sig)
FINAL q (Sig)
APPROVED / G— (Date)
SPECTOR (Sig)
N
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NOTES A\\ SOUTH WINDSOR POLLUTION CONTROL
►laer��r 4�umb� LOCATION l ( e1z e1�u b
vJas \w�es r Q %o'A) �� OWNER &VA ors a�
TYPE OF WORK ov5e
�rev�ous �� .1V�Q� w2r� 2- DATE 4-(o-7r PERMIT 1g96 PIPE 6"PVC
INSTALLERA,47; isn�ew4.i
INSPECTOR DRAWN BY