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HomeMy WebLinkAboutDrain Layers Permit 514 Felt Road TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut List No.: DRAIN LAYER'.S PERMIT O 725 Or 110 r , 19 7 4 mill Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at -514 F01t ftdl on the t side, between PAIMOr Ted$ & Birch RM DrIve. at premises owned by Rotor & TWO A* ftstins whose address is Mae and to Lay House Drain, Repair House Drain, Lay Main, Other for reaidentjAl occupancy or use, with Lid Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE ( j, INDUSTRIAL WASTES .( ), OR Connection will be made with fidll-IVAU (619 vlagtip V) to a latend knamm as Otao 19,1 at a depth of 790 -e Permit to be issued to job ale .inn—M the holder of Drain Layer's License No. Permit will expire on 07 j "7 19 71+ 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 Signed 4;.le-,Z­v Connection Charge Paid J Licensed Drain Layer of t O• Issued by Melvint , • Tax Collector Permit Fee: Paid $ _ * INSPECTION: Check Number: _INITIAL (Sig) FINAL (Sig) APPROVED 6'1"VO0444ft /9746 (Date) (Sig) INSPECTOR sY N 4 r-- LL oia ©'Q Q I NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION 5I t OWNER Peje,k TYPE OF WORK DATE ¢ PERMIT PIPE F INSTALLER ! ,;, INSPECTOR -Y.% DRAWN BY �'