HomeMy WebLinkAboutDrain Layers Permit 23 Broadleaf Drive TOWN OV SOUTH WI N DSOR
DEPARTMENT OF `POLLUTION CONTROL gip No.: 21-C
South Windsor;Connecticut
List No.: _ - O Y
DRAIN LAYER'S PERMIT 530
Ne"k 26 , 19 74
Pursuant to written application; permission'is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at D3 ! Pro on the
_- let sides^hetwe,en_, Grote i;t hlolistio& Dra
at premises owned by, Wal tar J_ (lax
whose address is sates
and to X Lay House Drain, Repair House Drain, Lay Main; Other
for R+ai$satial occupancy or use;
with Ohs Family Units,,with acres:
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ('X j, INDUSTRIAL WASTES '..( );''OR
Connection will be made with six ilsh (6) Pla�tie >axl
'Permit to be issued to ` Trailk Russk
the holder of Drain Layer's License No._ 2"34 Permit will expire on AprU 26 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 Dmi* Ig?®r'.to l ip aerptif� trick. Aa ,►rU4k it "tal Unk
Signed:.
Connection Charge Paid 3/19/74 Licensed Drain Layer
Per, E4 bins Issued by WPk A. 8ta*we*ther Jr.
Tax Collector
Permit Nee:. Paid $. 1ej'40
INSPECTION: Check Number:
INITIAL (Sig)
FINAL .�• (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
wI `
N
{' 3 ,Ji SAY
nr
0
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION �23 0f o,4,0LEf/F goop
OWNER WALi� c� c.�x
TYPE OF WORK F wLq i RTC pp/-
DATE -) -z PERMIT � e a PIPE rim;
INSTALLER
INSPECTOR .r . DRAWN BY S',