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HomeMy WebLinkAboutDrain Layers Permit 105 Farmstead Drive TOWN OF SOUTH WINDSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut ;l List No.: DRAIN LAYER"S PERMIT NO 1338 19 Pursuant to written applicatior, permission 's hereby�td the Licensed Drain Layer named herein to perform the work indic red below at I S �Al 11I on the side, between at premises owned - whose address is and to KLay House Drain, Repair House Drain, Lay-Main, Other for occupancy or use, with Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE ( INDUSTRIA WAS S` OR Connection will be made with 1 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. j SPECIAL CONDITIONS / e Signea IA Connection Charge Paid / Licensed Drain Layer ~7 7 Issued by Tax Collector f, Permit Nee: Paid $ INSPECTION: Check Number: INITIAL (Sig) FINAL (Sig) APPROVED �d — (Date) (Sig) INSPECTQK _ _--_ s - __ _ �_ __ .ti -.� �' _. . _ _ � _ __ _ _ 4 - _-�_ __ } __ __ `� f� � _;.� �_. _. _. _ _._.. .._. _,__.__ _ __ .____ _. ��! - - �` � -�` - f - _ - - �,,,### apt � _ ___ -_ __ - _ _ � � � / Rv Y Cam:_ _ ` £�� __ _.. _._._ __ �^..� `, r 1 _.. _ ._ ..._. }� �tS" � t _ _ _ __ ___ ._ _ --- __ .___. _.__ _ _- ,��� --_ _� __. _ - _ -- - . __ __ f I i r J �,f -o 4' R Q. r, 88 a � SOUTH WIN:)SOrl-! i�{J�_�_UT��t�) Cx�NTPOL lO(ATI©N -- rn �E F TO R WNDY