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HomeMy WebLinkAboutDrain Layers Permit 10 Horizon Circle TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut ,S 6n ' List No.: _ DRAIN LAYER'S PERMIT Np 913 . 8/13/75 , 19 Pursuant to written applicatior, permission is hereby granted to the Wensed Drain Layer named herein to perform the work indicated below at Lot 28 Green Ridge Estates ( Horizon Circle) on the side, between at premises owned by U&R Developers whose address is and to X Lay House Drain, Repair House Drain, Lay-Main, Other for Residential occupancy or use, with One Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE (X ), INDUSTRIAL WASTES .( ), OR - Connection will be made with Six Inch Plastic Pipe Permit to be issued to J. C. NAUMEC the holder of Drain Layer's License No. W-9 207/151 Permit will expire on 19 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 # 824E 0Licensed Drain Layer 91244/75 Issued by Frank J. Smith Tax Collector Permit Fee: Paid $ __15•00 INSPECTION: Check Number: _ INITIAL (Sig) FINAL (Sig) APPROVED (Date) INSPECTOR (Sig)