HomeMy WebLinkAboutDrain Layers Permit 35 Holliw Road 1� TOWN OF SOUTH WINDSOR .
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _SC:c;t o�=
DRAIN LAYER ' S PERMIT NO 785
?$ Joanna 19 25
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 35 Boll i a Road C� ; �z � F .7 j on the
went side, between Plaaaaat Valley Read mad Ravine 'monad
at premises owned by M.wv n_ Mockal,ja _
whose address is aama
and to XLay House Drain, Repair House Drain Lay Main, Other
for _ reaideatia_l occupancy or use,
with oz* (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR
Connection will be made withsliXr-JACK (Vrt) plastic vivo
Permit to be issued to Joha A• Lmsox, Wa IdWoox Construction
the holder of Drain Layer's License No. wq-cw18 . Permit will expire on 28 March 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 01-27-7.5 Licensed Drain Layer
Receipt No. 721 Issued by Melvin Edwards, Jr.
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED — (Date)
zi
(Sig)
INS OR