HomeMy WebLinkAboutDrain Layers Permit Deming Street TOWN OF SOUTH WIND
� SOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'.S PERMIT NO 1442
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at EIy1/A/r' T on the
<AiT,y side, between
at premises owned by `e'�,6(,[T}q k//Q/DS 64
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other_W z,-gzC l— ,
for ACSIX
occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X, INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with Pl/C
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
J _
Sig
ned
Connection Charge Paid �"`fi eased Drain Layer
L
Tax Collector Issued by
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED 1 6-7,0 (Date)
(Sig)
INSP OR
N
- ---------
C.8,
# 31S
ti
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION -7EmilV a ST.
OWNER -75-ia &-P vT.y iNaStr�
TYPE OF WORK 4,9- ', c
DATE 7--6•-79 PERMIT /yy2 PIPE 0,11Pvc
INSTALLER ca-Ev COoVS7-
INSPECTOR DRAWN BY