HomeMy WebLinkAboutDrain Layers Permit 1801 Ellington Road t TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut 9 �
List No.: _„3--/- -6
DRAIN LAYER'S PERMIT N? 2099
, 19YO
Pursuant to written applicattiior, permiss on is hereby granted to the Licensed Drain Layer named herein to perform
aO the work indicated below at G on the
side, between
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for f(77 14 C o occupancy or use,
with 22&amily Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( , 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.
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SPECIAL CONDITIONS I'l—e A 2Z=Z
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Signed iw. W f0QAw0h.R
Connection Paid Y� S 2 Licensed Drain Layer
Issued by
ax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSP O
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