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HomeMy WebLinkAboutDrain Layers Permit 189 Kelly Road i� TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL South Windsor,Connecticut DRAIN LAYER'S PERMIT �! �����© �.. N. 354 joy ' 19� i R� Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 10 Xdft 2W on the 4*10* side, between at premises owned by Now W1111111ft whose address is � and to X Lay House Drain, Repair House Drain, Lay Main, Other for occupancy or use, with N� Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE, INDUSTRIAL WASTES, OR Connection will be made with SIX too.t -. -. Permit to be issued to the holder of Drain Layer's License No." !* 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 bus Urw f ! I No iA till*nU wvus Signed Connection Charge Paid $ '" Licensed Drain Layer two so ft4k A:I§N -- - - (Sig) Issued by Tax Collector , ermit ee• Paid $ INSPECTION: rr�rar INITIAL (Sig) FINAL (Sig) APPROVED amb - 1,900% (Date) (Sig) -- - IN PECTOR