HomeMy WebLinkAboutDrain Layers Permit 29 Deepwood Drive . . . TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _ (/. /20 2
DRAIN LAYER'S PERMIT NO 1248
3 , 197
Pursuant to written appli�ior, ermission is hereby granted to the Licensed Drain Layer named he to-perform
the work icat d low at Z 6voej
on the
r)(hLtf side, bet n
at premises owned by 4U0 �-
whose address is >
d
and to Lay House Drain, Repair House Drain, Lay n,Mai Other
for '
occupancy or use,
with Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ()0, INDUSTRIAL/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 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
D l:Cl� Q
Signed (J G✓�1
Connection Charge Paid l Licensed Drai Layer
E 7 7 Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL
(Sig)
APPROVED
c (Sig)
INSPECTOR
0
N
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION e2 Cuav d
OWNER CtX�
TYPE OF WORK
DATE 6 m ERMIT/2 PIPE
INSTALLER Cbb6vt - -
INSPECTOR JDRAWN gy
1 -
7'9
_ 21 ;V..
19 1ed'
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1
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