HomeMy WebLinkAboutDrain Layers Permit 213 Kelly Road (2) TOWN OF SCCI WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
� I1 B/P No.: I rb 4r
South Windsor, Connecticut S
List.No.: _
0
DRAIN LAYER'S PERMIT N? 590
' 19--7—
....r...=—°^ --PtrMUAMto wtiften application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at mm,u y Rom C �-c'� -;gj on the
Nutt side, between Dia" & Ggiftelo F,,,
at premises owned b
whose address is »4r,
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with '! Family Units, with acres.
Type of.Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR
Connection will be made with INIX (60 Wfll P4A#tY42 idle
Permit to be issued to 801040W"r
the holder of Drain Layer's License No. Permit will expire on a 32 19
The undersigned Drain Layer hereby agrees to all the terms and conditions;set forth on the peihi7 afiTr the reverse sidef
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS A1q
14"r hmew as Sue 21-
Connection Charge Paid 2a9,313 Licen ed Draitf Layef
Pero 9, MoWA Issued by 1 'fie AtArA ar j1'r
Tax Collector
Permit Fee: Paid $ _ s"r _ Sates itar �
INSPECTION: Check Number: _
INITIAL O ..7 V //.? (Sig)
FINAL (Sig)
APPROVED AO (Date)
(Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION jeo
OWNER dJa Ago "^_Do�✓�
TYPE OF WORK seAlfe 4-
DATE 7g�6 PERMIT J—ia PIPE 1/
INSTALLER o „iF c
INSPECTOR DRAWN BY .t