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HomeMy WebLinkAboutDrain Layers Permit 200 Felt Road TOWN OF SOUTH WIN DSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut DRAIN LAYER'S PERMITO 471 -18 0 * , 19 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 200 felt Road (Lot # 4) on the side, between =d Road wd TallvoW €Nve at premises owned by whose address is and to X Lay House Drain, Repair House Drain, Lay Main, Other for occupancy or use, with * W Family Units, with acres. Type of Sewage to be connected under this permit: (SANITARY SEWAGE) INDUSTRIAL WASTES, OR Connection will be made with A1&44tj1C Permit to be issued toA $ei } the holder of Drain Layer's License No. Vi 151 Permit will expire on 'le, Decm11a 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. SPECIAL CONDITIONS P+ Signed mot ' ._• Connection Charge Paid Licensed Drain Layer Par .► wiz (Sig) Issued by i ? 3 P V-18.. Jro Tax Collector Permit Fee: Paid $ 45* Y i ?•d .s INSPECTION: it M INITIALAZ S. FINAL Aft , A 7• ' 7 APPROVED ` . / (Date) f� (Sig) ` INSPECTOR g) F de i I L�S I' i NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION OWNER TYPE OF WORK i1' L�gTll�L DATE �7 / >,PERMIT PIPE INSTAL R INSPECTOR DRAWN BY �=',' G.o 1 / ! 0 Aj � J N I r 5s• / N 5 N 4 S LAND p� oce o ►BERM IT PLAN LAND OF JOSEPH KRAWSKI, TO BE CONVEYED TO U. & R. HOUSING CORP. TOWN OF SOUTH WINDSOR, CONNECTICUT SCALE: 1 " = 40' L.S. #4395 µ�«��� Rockville, Conn.