HomeMy WebLinkAboutDrain Layers Permit 57 High Ridge Road 15-D
--TOWN Off= "SOUTH - WI N DSOR
41, ;- DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
�-6�219
j DRAIN LAYER'S PERMIT NO 361
Cl Aux- ? Imo_
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at. .5? RiSk Ridge Dry
on the
west side, between AreV& Foster
at premises owned by- Al C, �sQjt -
i whose address is
and to 3_Lay House Drain, Repair House Drain, Lay Main Other
for t�saw I A*X 4 ft7
occupancy or use,
with—Sao-(1 Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with
Permit to be issued to Brrtt F. jbpo
the holder of Drain Layer's License No._ � Permit will expire on 19
The undersigned Drain Layer hereby agrees to al 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.Q Ost* 73
for street excavation.
SPECIAL CONDITIONS
sk
Signed
Connection Charge Paid $ Licensed Drain Layer
p�� Be-1IIiiZ (Sig) Issued by 1ph A_ ��� ��� y�
Tax Collector r 4
Permit Fee: Paid $15.N
INSPECTION: Cheek 0 /
INITIAL45�— (Sig)
FINAL4." (Sig)
APPROVED — -� (Date)
- i
—4�vz 2::2
(Sig)
INSPECTOR
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A
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. V
NO--TES
SOUTH WINDSOR POLLUTION CONTROL
LOCATION �F ®2
OWNER
TYPE OF WORK Fw�� 7, ,-
DATE ,.y PERMIT !s PIPE
INSTALLER
INSPECTOR 'S' DRAWN BY rk, r