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HomeMy WebLinkAboutDrain Layers Permit 65 Mohegan Trail TOWN OF SOUTH WI N DSOR ' DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut List.No.: _ - DRAIN LAYER'S ;PERM IT � 1001 21 Ndvembor. , 19 Pursuant to writkn applicatiot, permission is Hereby'gtan4ed to the Licensed Drain Layer named herein to perform the work indicated below atJkOb on the p0 side, between at premises"owned whose address is and to XLay House Drain, Repair House Drain, Lay-Main, Other-- for rreids� itl occupancy or use, with ems Family Units,with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE ( g), INDUSTRIAL WASTES .( ),'O�°'•'( )` Connection will be made with six fah 41aA,16 �} Permit to be issued to *mold' /C Pleats ' jr x the holder of Drain Layer's License No.t! Permit will expire on, 21 04aftb ti' 19�. The undersigned Drain Layer"hereby agrees to all the`terms and Foriditions 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 PaidLicensed yfaih syer 891 Issued by K and ' Tax Collector Permit Fee: Paid $ INSPECTION: Check Number: 4? 44 INITIAL (Sig) FINAL (Sig) APPROVED (Date) R (Sig) `8 tq4 al © .®` t� N f v..tac mate ., V1�. s so. Re�eO 'L Ala LOT #14, "GREEN RIDGE", SECTION #1 TOIL! OF SOUTH WINDSOR, CONNECTICUT SCALE: 1 " = 40'' TOWN OF SOUTH WINDSOR A P P R ® V E D ENGINEER NG DEPARTMENT TOWN OF soUT- WINDSOR ENGINEERING DEPARTMENT DATE: !G;o SIG.: � �_`��` L.S, #4395 Tolland, Conn.