HomeMy WebLinkAboutDrain Layers Permit 166 Krawski Drive TOWN Of SOUTH WI N DSOR
11 DEPARTMENT OF PUBLIC WORKS
BUREAU OF POLLUTION CONTROL
DRAIN LAYER'S PERMIT 3651%
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r Pursuant to written application, permission is her b anted to th Licensed Drain Layer
narked herein to perform ith k dicated belat� at. �,
at premiseigr duned"b -Crt�i y whase .sddress is
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R , ayLaY House 5i"Ai epairouse 'Drain � h ,
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for ocazicy e iiwiffl
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Family Units, with acres. ;
Type of Sewage to be connected under this permit: SANITARY SEWAV.E ( ),` INDUSTRIAL
WASTES ( ). OR' {- ) It
,::Connection will,-be made,$ h
Show sketch of p�oposedi wdrk pY furbish 'two (Z) ct�pies of`separate °dr'aw3ngs
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SPECIAL CONDITIONS
Desired Starting Vate 2Estimated ..Time :fAr.:::Complet�on > _:_:
Permit. to 13e i.46i ;;o
the holder of brainillay is ice se;`Hp P rmit W fi exp re i1?f (3 ' rtdays
-Y�' is r fr{ 1' t r i it f
after date of issuance. The undersigned Drain ` aye, hereby agrees ;to all the"terms;and
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conditions set forth in the permit and the reverse side thereof Appficarit`las rec eived
Town Permit Na>. ><:a�dio }kID ,I?erm N
.?-Signed
L3c-dtised Drain,Le3tet _
The above names, 1?ra 1Y afygr a valid, lic.,"s tie b" th` t t `'`� ConneiCtcut and
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has filed a satisfagtory t�oz�ci. and 3.ns4,r4n, e.po:l i. t ic.,,? a a_of ttie 1o",tan' ofjWindsor:
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En,gim;eer g-,De-p etit f r ate
Connection Charge Paid
Check N
.I3sued y
Tax Office
INSPECTION
ata wo starte�lc ----`. ----------- -------.
Sufficient notification received: Yes No
Special Conditions
APPROVED:
Inspector Date