HomeMy WebLinkAboutDrain Layers Permit 60 Dart Hill Road (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT 'OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut
List.No.: _�yr
DRAIN LAYER' S PERMIT NO 1542
J1lb L%A'I e 9 /y , 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at (4 II •Pwgr &w_ Xy, on the
side, between
at premises owned by �d'4' T �`�;A�6X 104^1
whose address is
and to _ Lay House Drain, - Repair House Drain, Lay-Main, Other
for QS'/2 `r/41-- occupancy or use,
with ��/� Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (Y.), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with (A+ �l/�' x}� las o -TS z2CD w2��
_ �iQox. T y 'r"2 .
Permit to,bip ipsu€d t,4. Q 6)66Q - CoA Z� '
the holder of Drain Layer's License No:' Permit)wild expire"on " 19
The undersigne4,pt an:Dyer hgrebx a ;ees all the terms}and conditions 'set forth on th el,f permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C I�U Permit No''`
for street excavation
SPECIAL -CaNDi i`IONS -. _ ,_ -
1 is
Signed
Connection Charge Paid Licensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: ,
INITIAL (Sig)
FINAL �� (Sig)
APPROVED / - 7 (Date)
(Sig)
INSPECTOR
EASTERN SEWER PIPE CORP.
3320 BERLIN TURNPIKE.NEWINGTON,CONN.06111 PHONE(203)666.5634
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