HomeMy WebLinkAboutDrain Layers Permit 695 Clark Street TOWN OF SOUTH N SOR
. WI D t3
DEPARTMENT OF POLLUTION CONTROL gip No.: •� `
South Windsor, Connecticut
List.No.: _S 4e743
DRAIN LAYER'S PERMIT NO 944
23 AjWtaMber , 19 7
Pursuant to written applicatior,permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Mirk Atrdd on the
W04t side, between Deafts Street Alit$ Amith Street
at premises owned by SMUs RM4A J. & Prances 2
.whose address is awe
and to L Lay House Drain, Repair House Drain, Lay Main, Other
for 1"elp ,43eif<t occupahcy or use,
with . one W 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 8133 sr h p3Aatie AM toa lateral k
DoWn at t8• q$gj,y * *
Ill d"th of 90 Ze`.
Permit to be issued to Obn A. umporl, dba lonn O!?1IgtruotiOl2
the holder of Drain Layer's License No._; wl .., 88 Permit will expire on' pjyr@pltjpt
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 Licensed Drain La er '
2"Aint NO. 03 Issued by McIVIA_ftlards, Oar,
Tax Collector
Permit Fee:. Paid •
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED `+ •(Date) `
a:
(Sig)
INSPECTOR g