HomeMy WebLinkAboutDrain Layers Permit 48 Davewelll Road RIP
TOWN **SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL g/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMITS 209
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer,named herein to"perform
the work indicated belo*at /- I)A vP w P fl XId on the
side, between
at pr raises owned by ! -, f f r , o S P/>
whose'address is /1 , f1 _
and to Lay House Drain, Repair House Drain, Lay Maj�, Other
for x", occupancy or use,
with /Jy, Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( �IN USTRIAL�WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to
the holder of Drain Layer's=License No. ..Permit will expire on 19
The undersigned Drain..Layer hereby agrees to all the terms and condigons set forth on the,permit and the reverse side
thereof. Applicant has,received Town Permit No. ` and/or C H D Permit'lZo
for street excavation.
SPECIAL: CONDITIONS
Signed L Gi
Connection Charge Pal Licensed Drain Layer
Issued by_� �� A
Tax Collector [�.. 1,3 f
Permit Fee:. Paid $
INSPECTION: Check Number: �� \
INITIAL
FINAL (Sig)
APPROVED - O (Date)
U //
- // .t�c.o (Sig)
INSPECTOR
l
J I
r i
kel' �
NOTES SOUTH WINDSOR POLLUTION CONTROL.:;
7 LOCATION49
rw�2-c�
OWNER a
TYPE OF WORKS /wsir��ur'-mil
DATE <f iG fflb PERMIT 2.4 ?C PIPE
INSTALLER /�>�n-! �viS/✓� s�=!
INSPECTOR �J DRAWN BY