HomeMy WebLinkAboutDrain Layers Permit 46 Dogwood Lane (2) F TOWN OF SOUTH WINDSOR � sav
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: lea oS+ -
.3orC), 1 DRAIN LAYER'S PERMIT Na 763
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 46 Dopood Lme (L t 7�) on the
S*Ut i side, between N" .IIA Md Pea#;li Drive
at premises owned by BAMIaM in J. Cuts=
whose address is &me
and to x Lay House Drain, Repair House Drain, Lay Main, Other
for rosidoxtW occupancy or use,
with 0" 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (x ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made witherl' —Ayiah (60) laa j I yg to a lAkt&,r&IL knom As et., 64.11, a� �
delimit or 6.5,+.
1 Permit to be issued to Havia E?E msua* Jra
the holder of Drain Layer's License No. V'9-W72214 Pgimit will expire on 27 FebxR 19�
The undersigned Drain Layer hereby agrees to all the terms and conditions`set forth on the permit•an the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
ignedLk
Connection Charge Paid 12-02-74 icbtised rain Layer
l At No Issued by koll#8 Ziwe. Jr
Tag Collector
Permit Fee Paid $ _ �►
INSPECTION: Check Number: 0 _ SEC 4 $
INITIAL (Sig)
FINAL (Sig)
APPROVED-7-7 (Date)
(Sig)
INSPECTOR
M +
N
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK ��
DATE PERMIT 1 PIPE T't.7-,
INSTALLER - ,►a r ,
INSPECTOR 4t- F DRAWN BYo`'