HomeMy WebLinkAboutDrain Layers Permit 120 Hillside Drive DS
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut ++
List.No.
DRAIN .LAYER';5 PERMIT577
30
� 19
Pursuant to written applieatior permission is hereby granted to the Licensed Drain Layer named herein to perform .
the work indicated,below at
side, between ' Nuft <Ifftr. R► .
whose address is.
and"-to ALay house Drain, ,..Repair House Drain, Lay Main, Other
for 0 occupancy or use,
with Family Units, with acres.
Type.of Sewage".tg be connected undgr,this permit: '
SANITARY SEWAGE (X),'INDUSTRIAL WASTES OR ("
-- Connmion-wil;l-lse-made,with-- + + e -
Permit to be issued to 4 Ada"ft
the holder of Drain'Layer''s License'No. " Permit will expire on 19
The undersigned Drain Layer herelsx agiees'to all the terms and conditions set forth on the permit and:the reverse side
thereof. Applicant has received Town Per it No and/or C H D Permit No.
for sCreet,etavatian. s =f
soul y x
SPECIAL CONDITIONS
y
-Signed
Connection Charge Paid* "Lleensed Drain J,ayer
..
_ Issued b ':iR4► > .
Tax Collector
Permit.Pee;"Patd
II'SPEGTION: Check=_Number
INITIAL ,+4. z r +a' ►;^ ,. �,•+ (Sig)
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APPROVED y ,, _ (Date)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION i:Z
OWNER
TYPE OF WORK
DATE _ �� PERMIT --7 PIPE
INSTALLE .�• y�� ,,,
INSPECTOR DRAWN BY v<'