HomeMy WebLinkAboutDrain Layers Permit 79 Hayes Road (2) TOWN Of SOUTH W I N DSO
DEPARTMENT OF POLLUTION CONTROL B/P No.: 1'
South Windsor, Connecticut
List No.:
DRAIN LAYEW5 PERMIT p 715
19
Pursuant to written applicatior, permission is hereby.granted to:the Licensed,Drain.Layer named herein to perform
the work indicate&below at •814" = t
on the
. side, between �iCl�'
whose address is iWfi!
and to x Lay House Drain, Repair House Drain,- Lay'Main, Other ,
for + 4 occupancy or use,
with me 0) FaTily Units,with acres.,
Type of Sewage to be connected under this permit: r
SANITARY SEWAGE INDUSTRIAL.WAS`PES..(' ), OR'( `)
- 10-----Connection will-be made with: # A*
3,
Permit t4 be issued to
the holder of Drain Layer's license No. W90"Ift Permit-will expire on ' •J 19
L
The undersigned Drain Layer hereby agrees to gill the'"terms.a`ad'conditions'sea'forth on the permit and she-reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street vxcavation.
SPECIAL-CONDITIONS
Signed
Connection Charge Paid io-31w7 - Licensed,Drain,Lay r ; .~
.ef Issued by 26009409l
Tag Collector
Permit'Fee:. Paid $ _ 115000
INSPECTION: Check Number: ,
INITIAL U104 G c99'? J (Sig) "
FINAL / aL -
APPROVED 64 Aw✓.W.y/xQ74- (Date)
__ INSPECTOR - (Sig)