HomeMy WebLinkAboutDrain Layers Permit 79 Dart Hill Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.: _-(4 {�
DRAIN LAYER'S PERMIT N? 1656
' 19 -71
Pursuant to written applic tior, permission is hereby granted tothe Licensed Drain Layer named herein to perform
the work indicated below at c V� l�� on the
side, between I
at premises owned by ' 1 a v\ c>
whose address is
and to L'ay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with g, pv c,
Permit to be issued to f, n S vl C
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 excavation.
SPECIAL CONDITIONS
Signed � 5'`L
Connection Charge Paid License r in L yer
—7 I It 17 ( Issued by Z/��
-Tax Collector ��6 d
Permit Fee: Paid $ _ _
INSPECTION: Check Number: 11912
r
INITIAL fic (Sig)
FINAL (Sig)
APPROVED 12L
(Date)
(Sig)
INSPECTOR
V
l�)
- Selo
y sr
f
j
a r4 G�tr✓
NOTES ¢ SOUTH WINDSOR POLLUTION CONTROL
LOCATION QaP", l I
OWNER Al b-P-,r-t PAC � p
,�_ •,_. . TYPE OF W RK J r.r Gv,, f,-
DATE 7 /IJ 79 PERMIT
INSTALLER
INSPECTOR DRAWN BYq_