HomeMy WebLinkAboutDrain Layers Permit 16 Gulley Drive (Lot TOWN OF C§0, TA WINDSOR
. DEPARTMENT OF POLLUTION CONTROL B/P No.: /
South Windsor, Connecticut
List No.: _ U frY
DRAIN LAYER'S PERMIT N? 534
A ril 'i 5 , 19 71k
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
•:-_ side, between
at premises-owned by - "Aral Ig=Vk
whose address is t ,_
------------- ------------------
and to Lay House Drain, Repair House Drain, Lay-fain, Other
occupancy or use,
with ::)At Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( X), INDUSTRIAL WASTES OR ( )
Connection will be wade with ziy W i nc'l
Permit to be issued to La—a s
the holder of Drain Layer's License No. W<' Ct; i% Permit will expire on Jill e.
The undersigned Drain Layer hereby agrees1to 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 40AC
Signed
Connection Charge Paid -.f7t,. Licensed Drain Layer
9't
Issued by 't Jr
?v:� �w.fi' h
Tax Collector
Permit Fee:. Paid $ _ 1-5-k't)
INSPECTION: Check Number: 11
INITIAL {Sig)
FINAL / 1. > ' j't >% ._ (Sig)
APPROVED f17 (Date)
(Sig)
INSPECTOR
J
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Q
4 �'r
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION G ul t
C/ OWNER
TYPE OF WORK sr- ,g EqL
DATE 74 PERMIT rf4., PIPE 6J/*
.0 INSTA LE Tl4G,' j
INSPECTOR OPf DRAWN BY iP�