HomeMy WebLinkAboutDrain Layers Permit 497 Buckland Road TOWN OF SOUTH - WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT
0 493
1rr. 1 97�3 _
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 497 &u*lmd Rde
side, between IMIngt0ft P4 & DadAC At, on the
at premises owned by !T~! r W* BArter
whose address is now
and to X Lay House Drain, Repair House Drain,
Lay Main, Ocher
for reaidmtial
with occupancy or use,
Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE INDUSTRIAL WASTES, OR
Connection will be made with (6) V.C.P.
Permit to be issued to Adm Wiad
the holder of Drain Layer's License No. %1 "
Permit will expire on J40 6 1973
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.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS DIR 'rr # bA
� �Criu�, _�,� „t,•
Signed
Connection Charge Paid $10931/*?3
Licensed brain,Layer
Per. E, ]wads
Tax Collector (Sig) Issued by 11• $ CWe3th�r Jr.
Permit Fee: Paid:$ 45000
INSPECTION: Check 0
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
C� LOCATION 9' 7
OWNER L - o a rrQ
/? TYPE OF WORK
DATE PERMIT 419V PIPE tic
�3 S INSTALLER ,V,�79
INSPECTOR .f DRAWN BY