HomeMy WebLinkAboutDrain Layers Permit 447 Nevers Road TOWN OF SObTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.: — a
South Windsor, Connecticut
List No.: �ebL
DRAIN LAYER'S PERMIT NO 739
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 447 Na7ara 1-bad S/9) on the
WeSt side, between Was EA Grabam Ebads
at premises owned by Jntin J_ I Mai ra J. EID&O&I
whose address is 8=0
and to X Lay House Drain, Repair House Drain Lay Main Other
for reeidential occupancy or use,
with 0" (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with Od.1—Jt1Ch (6") PU-W—t.0 SI t* 8 latlrAl kQ0 9 Stas 2' I3e' j, at a
492 of 5s01-•
Permit to be issued to WiU:L= go kS112yeaUr
the holder of Drain Layer's License No. 2064 . Permit will expire on 15 JAMUIkX7 19 r 5
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
Signed
Connection Charge Paid 11-03»74 Licensed Drain Layer
Issued by Kelvin Edwarlda. Jr.
Tag Collector
Permit Fee: Paid $
INSPECTION: Check Number:
F
INITIAL . (Sig)
FINAL ' (Sig)
APPROVED �/1f J ,�",'�'," (Date)
(Sig)
INSPECTOR
D �
h
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION -fl7p Nevi"
OWNER
TYPE OF WORK
DATE PERMIT PIPE
INSTAL
INSPECTOR DRAWN BY