HomeMy WebLinkAboutDrain Layers Permit 80 Hayes Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _ 56&790
DRAIN LAYER'S PERMIT NO 826
4/275 , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 8o tiayfus Road on the
side, between
at premises owned by omit 1-4Argrot Marys R.C. Church & 1leetory
whose address is SAm0
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for Fla.ce Of t4orship
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 Six_ Elastic Pipe
Permit to be issued to
John. A, Lameon
the holder of Drain Layer's License No. Permit will expire on 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 745 Licensed Drain Layer
Issued by Frank J. Smith
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR