HomeMy WebLinkAboutDrain Layers Permit 130 High Street y L
1 NN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL gip No a ► Of g
South Windsor, Connecticut
List No.: _Sir��Pcr�l
t . • - DRAIN LAYER'S PERMIT 81
0
17 War" , 1 9—?
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer:named herein to perform
the work indicated below at 13D Iidh Stet [Lot 33) on the
N=th side, between Uot*r Clrcl* tooter
rLrC1* at premises owned byCh*a lAt 3*t*Ak** .
hose odd---- is—
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for ra ddaatW
occupancy or use,
with as* 0) Family Units, with acres.
Type of Sewage to be connected under this permit.
SANITARY SEWAGE (x ), INDUSTRIAL WASTES ( ), OR
Connection will be made with 412-1=11 (0*) VIaat O lot" to a latixwl WOW In the abor drawl".
at a daptb of 6.00=.
Permit to be issued to pnoviA Re 11 UO2a
the holder of Drain Layer's License No. "-W?l34 . Permit will expire on 17 X 1975
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 03-*-?5 Licensed Drain Layer
Rsc*lot No* 751 Issued by N4vft Edwardst Jr*
Tax Collector
Permit Fee: Paid $ _150
00
INSPECTION: Check Number:
INITIAL f �, (Sig)
FINAL (Sig)
APPROVED WA/7 tt*goo (Date)
fN8PE-CT O (Sig)