HomeMy WebLinkAboutDrain Layers Permit 144 Hayes Road _s TOWN OF SOUTH WI N DSOR
_DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMIT NO 1455
u�y '6 , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
H
the work indicated below at NY d o t Ae"OL on the
side, between
�
at premises owned b ! eke&
whose address is
and to C Lay House Drain, Repair House Drain, Lay Main, Other
for X r5ex6y 7--/f3L occupancy or use,
with BVZ5 Family Units, with Acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ()t), INDUSTRIAL WASTES ( ), OR ( )
it
Connection will be made with
Permit to be issued to P�9 lI�r aoK QhSf hW Ct!l►
the holder of Drain Laxer's License No. uj�Z 0(9110 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 "0 Vh Q e UJ t E r (2ir_mmraknu ra ayid voi
r�u V%Jvhi�aa -.C-V �&Ijsfe , lleweter sure
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hem
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Signed
Connection Charge Paid 1 90 Lirp&sed r
Issued by A 4 A.
Tax Collector
OU
Permit Fee:. Paid $ _ /rr✓ '__
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INS T _
N
Vnd�r prar5eburs
T
s N EToo
� 3085
l0►�'41
Nw�rs Road
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER 714 i G e
TYPE OF WORK _ se r,n c=1-i6
DATE PERMIT 1455 PIPE P• .C.
INSTALLER Co
INSPECTOR ,T DRAWN BY G• K.