HomeMy WebLinkAboutDrain Layers Permit 60 Horizon Circle TOWN OF SOUTH WINDSOR p
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: ...
DRAIN LAYER'S PERMIT NO 632
01 A mNA , 19 :'4
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at f__;a'. ( m on the
side, between
at premises owned by
whose address is
and to XLay House Drain, Repair House Drain, Lay Main, Other
for re"iidogtiil occupancy or use,
with QW (I) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE L ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with I7t1 i=h (611) nj=tjq
Permit to be issued t a a. • (IC aasae
the holder of Drain Layer's License No. W9w%W1A Permit will expire on 01 0otApbew 19 74
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 Licensed Drain Layer '
Jt"$kt No* Issued by 1401yi,a t%-TwALf`x�, a t.
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: 11
INITIAL (Sig)
FINAL (Sig)
APPROVED - T`- t .1 74- A,4 (Date)
,s.` .±"`• (Sig)
INSPECTOR
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PERMIT PLAN'
1
LOT #24 , "GREEN RIDGE' SECTION #1
TOWN OF SOUTH WINDSOR , CONNECTICUT
SCALE 40 -
L . S #4395
Rockvi 11e , Conn .
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