HomeMy WebLinkAboutDrain Layers Permit 772 Ellington Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.: K-1-
16
South Windsor, Connecticut
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List No.:
DRAIN LAYER'S PERMIT 953
08 October Y 19---��
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 772 ZUingtm Bagd on the
Wegt side, between Fleawmt VaUa load & Ordwa qe
at premises owned
whose address is per
and to X Lay House Drain, Repair House Drain, Lay-Main, Other
for roside ttW occupancy or use,
with one 0) Family Units., with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), INDUSTRIAL WASTES OR
Connection will be made with p34etic pigs to g later known as Stagy 6+81.46 at
a derth of 3.5t+.
Permit to be issued to Adam Xleni.eWaki
the holder of Drain Layer's License No.- "n206 Permit will expire on 1 Aigber 1921.
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
,
Signel�a 0( A t1.
Connection Charge Paid Q"-74 Licensed Drain ayer
- Receipt No, 556 Issued by IteElvin 3dwerds, Jr.
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
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