HomeMy WebLinkAboutDrain Layers Permit 140 High Street h* TOWN OF SOUTH WI p
.
DEPARTMENT OF POLLUTION CONTROL
# B/P No .
South Windsor, Connecticut
List No.. _-9-6.6 /
DRAIN LAYER'S PERMIT
'°. 987
10 Neve�bwr 19:2�!j
Pursuant to written appli t'or, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated belo*,at at
` - .Ot1 on t side, between ------------
he
at�emises-owned by
and to Lay House Drain, Repair House Drain, Lay Main, Other
for--'---- raaidsatial
with: occupancy or use,
OILS Family Units, with
7. acres.
Type of Sewage to be connected under this permit: A
SANITARY SEWAGE (X ), INDUSTRIAL WASTES OR ( )
Connection will be made with dix 4"
Permit to be issued to �!lTail.df adba o
the.holder,of:Drain Layer's License No. 0427 Permit,will expire on
The•undersigned Drain Layer hereby agrees to all the terms and conditions"set forth on the permit an' the reverse si3e
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed-��
Connection Charge Paid A $ Licensed rain Layer
-Issued by_. fEt+ lllrld --Ta$Collector _
` Permit Fee:L Paid $
--- -- - II�TSPECTI". -Chcck-Numbers
INITIAL (Sig)
FINAL
(Sig)
(Date)
OR
.D
U
/b Q
s OV GI
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