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HomeMy WebLinkAboutDrain Layers Permit 79 Goodhill Road TOWN OF Q.fUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut _/f� 6� ta DRAIN LAYER'S PERMIT N© 457 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at Lot 18 Aw4hi I Ri. Golan al 10 a on the side, between_ Dams at t$* at premises owned by NOAMft •* 1�� whose address is 11"dAst* and to _Lay House Drain, Repair House Drain, Lay Main, Other for occupancy or use, with t 0) Family Units, with acres. Type of Sewage to be connected under this permit: (SANITARY SEWAGE), INDUSTRIAL WASTES, OR Connection will be made with OTC JA*h (6) PIASUO III Permit to be issued to JON* Man the holder of Drain Layer's License No.V9_X097 . Permit will expire on * 1 1 _ 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_ ft" "wor' w to bo lad &t pj ,1 winjam �r Signed Connection Charge Paid $ +!' " iPnsed WdTh La � + i ft"!G (Sig) Issued by At BU*w lk"`� irrl Tax Collector Permit Fee: Paid $ 15000 INSPECTION: M*4k INITIAL (Sig) FINAL (Sig) APPROVED ! /.';r 7 (Date) INSPECTOR