HomeMy WebLinkAboutDrain Layers Permit 20 Mohegan Trail TOWN OF SOWRI WINDSOR
DEPARTMENT OF POLLUTION CONTROL BAP No .
South Windsor, Connecticut y
List No.: 1�-I iTy
DRAIN LAYER'S PERMIT
p 606
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 1, `" i'r•", ; += `� . P '�1^c..t��li�l'�t ZU �i+�tL on the
30Utt : side, between Ge t c;:'.
at premises owned by 1&2 4*ne,!s (;OXpe
whose address is t7I °.`gater St. ia+eha8 twin
and to �j Lay House Drain, Repair House Drain, Lay Main, Other
for re,r,3.f."`T''—A1. occupancy or use,
with OR, Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with 8 ti Os a '.1
Permit to be issued to J.C. t r�:irea•
the holder of Drain Layer's License No. JG-2XI51 Permit will expire onyx n 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 30"
Signed
Connection Charge Paid{11 ,fi7 4 Licensed Drain Lay f'
HlJ1iz Issued by Ral 4- As Ztelrxwelivher Jr.
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL i. "r (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
4
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION Lo%.� '? Gay -- K
OWNER ous' ,t _e,
TYPE OF WORK - .t�9iTz A
DATE l - 7 PERMIT ae�' PIPE r
INSTALLER c c
INSPECTOR S DRAWN BY 4�LJ