HomeMy WebLinkAboutDrain Layers Permit 70 Benedict Drive ` TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: $Co 1.130
DRAIN LAYER'S PERMIT. I73 '
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ^ tS �E�i �Ci U ►(5 - on the
side, between {{
at premises owned by t4 V4
whose address is S M
and to `Lay House Drain, Repair House Drain, Lay Main, `Other
for 6 t, t-ck[3c_. - occupancy or use,
with '�)w' Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE.0<,,INDUSTRIAL WASTES .(: ); QR ( )
l -
Connection will be made with 1 10'(JA
Permit to.be issued to 1ca�u �tam Sa'ci
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 excavations. .
SPECIAL CONDITIONS �c. "Cc , W vits -1 ca �3 tr � ,�u2:ii►2 U!l�i�c
'mot c s a�f C A.�' 1'Ro N 5 A-VI
Slime
Connection Charge Paid Licensed Dta_in Layer
f c. uezl,by �S'� l)
Tax Collector f .
Permit Fee:. Paid
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a TSPECTION: Check Number: ,
\ INITIAL i �; J / (Sig)
`\ FINAL i (Sig)
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APPROVE All`` i �` t� (Date)
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