HomeMy WebLinkAboutDrain Layers Permit 105 Mohegan Trail TOWN `OF SOUTH WINDSOR
d DEPARTMENT OF POLLUTION CONTROL
B/P No.: -
South Windsor, Connee#ieut
List.No.: _S-Ga lG
DRAIN LAYER'S PERMIT
O 1019
December 11 , 19 7S
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at 'IC15.,_abegan Tmi j `LT 2Q) on the
side, between
at premises owned by-----._ 1U&R
whose address is
and to X -Lay House Drain, Repair House Drain, Lay-Main; Other
for residential
occupancy or use,
with One Family Units,with acres.
Type of Sewage to be connected under this permit,-
SANITARY SEWAGE (X), WI)USTRIAL WASTES -( OR ( )
Connection will be made with - six inch plastic 32ipe
Permit to be issued.to James L. Beley
the holder of Drain Layer's License No.W9_ 20793 Permit will'expire on 11 Januar�r 19 7 -
The undersigned brain Layer Hereby, agrees to all the terms and conditions set forth on the permit and t e reverse side
thereof.. Applicant has received Town Permit No. .—and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS -
Signed C ✓t.c� C
Connection Charge Paid 12;9/01 75 Licensed Drain Layer
912 Issued by M.* Timothy Friend
Tax Collector
o . .
Permit Fee: Paid 1 00
INSPECTION: Check Numbers -_
INITIAL. (Sig)
R
FINAL (Sig)
APPROVED (Date)
(Sig)
ECTOR
t
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