HomeMy WebLinkAboutDrain Layers Permit 81 Hayes Road . TOWN OF SOUTH WI N DSOR 4W.:
DEPARTMENT OF POLLUTION A#TROL BAP No.: 14-H
South Windsor, Connecticut
List No.: _
DRAIN LAYER' S PERMIT 665
01 Oo cobar , 19 114
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at7 on the
side, between >YulyA i�u&c juj 11,,olii ai'ivYt�t�:
at premises owned by ':..:�
whose address is
and to X _Lay House Drain, Repair House Drain, Lay Main Other
for "Lii iiislli:ixal occupancy or use,
with ulie (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (A ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with 0iX1•iU401 W") L�ZUt= Pipe tO a carat iron lateral er,mwting fmin
M II Sta 2+50.
Permit to be issued to ,wi3)!NY" �,• litl
the holder of Drain Layer's License No. W96-205935 Permit will expire on 01 December 19_Z4.
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 Yea Licensed Drain Layer
ReceilAt Pilo. V,7 Issued by A103-�IiU i4vlt7!"la, Jr*
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL 0934, fit 6letw o.4 ♦974- •••- (Sig)
FINAL 14�_ � •-s ..,... (Sig)
g)
APPROVED- 01 Octoberg 1974 (Date)
(Sig)
INSP CTOR
C
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . . . . . . . . . . . . . . . . . . . . . . .
The Sanitary Sewer . . . . . . . . Septic System . . . . . . . . . .
at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
or lot #. . . . . . . . . . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
By Date
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