HomeMy WebLinkAboutDrain Layers Permit 95 Hayes Road (Lot 6 A�
TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut -�oy.tCg,S'
List No.: _
DRAIN LAYER'S PERMIT NO 701
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 9$ N99M Swed (t c T Ce 2.) on the
aNHjt1ki side,_ oftuthwasit fai41A!' of KNM HINd Wd PWwr Bid,
at premises owned
whose address is !
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for r*41dfat a l occupancy or use,
with 01'f19 M Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ($ ), INDUSTRIAL WASTES ( ), OR
Connection will be made with JILID (6") SIMMUC AN to a lam WMAD as Btae 4+71 i at a
death At 5.54!a
Permit to be issued to JOlA A. LMSM
the holder of Drain Layer's License No. V9-20( 88 Permit will expire on a Ve060bar 19 ?4
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 10-21-?4 Licensed Drain Layer
200"IFt 1110► 63D Issued by Wyln Zbowft, Jr„
Tax Collector
Permit Fee: Paid $ _/SS. 4040
INSPECTION: Check Number: _
INITIAL p (Sig)
FINAL 192 2e Q 1214 (Sig)
APPROVED QQza CkAe16m r 1974- (Date)
/lat h..I&L . (Sig)
INSP OR
9sagoleam Ale