HomeMy WebLinkAboutDrain Layers Permit 570 Governors Highwa TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
- B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT Np 620
12 ' 19 74
.-Pursuant-to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at �r _-2 ,
�? '��� � on the
b side, between_ R& & Natafft0a Rd,
at premises owned by-ArdhUMINAt BIAM02W
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for msidefttw occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with IXG)ig4 P#V*('r«
Permit to be issued to T*Va
the holder of Drain Layer's License No. Permit will expire on 3 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
Signed
Connection Charge Paid 6/V74 Licensed Drain Layer
"► Vie. ' Issued by URI^ As 1t*VkVftV&*3r Ore
Tax Collector
Permit Fee:. Paid $g __�
INSPECTION: Check Number:
INITIAL t` a. - z. :j (Sig)
FINAL ��_ ar (Sig)
f
APPROVED..- (Date)
(Sig)
_ INSP$• TO