HomeMy WebLinkAboutDrain Layers Permit 477 Nevers Road -14' ' � TOWN OF SOUTH WI N DSOR �a _
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.:DRAIN LAYER'S LAYER'S PERMIT NO 832
�6 Ate_, 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 4?/ NeT49rN BNA �• 522) on the
1"t side, between 8t1►+9dQ1 Md 01sh n
at premises owned by JM , 11614 & B`dlth
whose address is am*
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
with iff 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE=), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with 4d3tteeh MIT9etWo"t Afiffte Idjo to ja lateral G�.s
$tie- 6+63w6,. at t depth Of
Permit to be issued to A&M W .simmki
the holder of Drain Layer's License No. W9 Permit will expire on 416 J�=& 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse sid
25
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed ,` _ y
Connection Charge Paid 11�7�*71i Lic sed rai ayes
1t1*3.lt me. 6" Issued by N*I.V a NdWgfsi. Jr,
Tax Collector
Permit Fee: Paid $ _ ��•
INSPECTION: Check Number: _
INITIAL ��6 [ Cy��� (Sig)
FINAL _17ffli U 6, (Sig)
APPROVED 16 AprU (Date)
(Sig)
/` INSPECT
G�G...
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