HomeMy WebLinkAboutDrain Layers Permit 2783 Ellington Road TOWN OF SOUTH WI N DSOR
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DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: 0— '5-
DRAIN LAYER"S PERMIT NO 1447
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 270:3 L-IAIG f®A/ R&, on the
side, between
at premises owned by P991-L157776 t'
whose address is
and to �Lay House Drain, Repair House Drain, Lay Main, Other
for AES' occupancy or use,
with /Sl1lE Family Units,.-with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ()(), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with P y C'
Permit to be issued to .4.PeM 1A1 gAug w s,<
the holder of Drain Layer's License No. Permit will expire on 19
The undersigned Drain Lay iter hereby agrees to all the terms and conditions set forth on the perm and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid ';L Licensed Drain Layer
Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: ,
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
e1® i (Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 2793 E DING -TO Ill
OWNER PE LLC-r f L- R
TYPE OF WORK oUs E 0N/ G c T i
DATE 2-1 PERMIT PIPE
INSTALLER ),V1,SA11E-k1,SKj
INSPECTOR G,77 DRAWN BY T C.