HomeMy WebLinkAboutDrain Layers Permit 43 Niederwerfer Road • TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South_WI-P-dso-r,_Connecticut
List.No.: _Co !y i-
DRAIN LAYER'S PERMIT N? 1479
1�uCd<-K IS 19 '74
Pursuant to written applicatior,llp//ermission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at T Al is I>E;e uicernE►R A,4i) on the
side, between /
at premises owned by__�k. /Il , �GEGLE7�E
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
,
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (->C), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with
Permit to be issued to S"1_
the holder of Drain Layer's License No. Permit will expire on 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 li D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid` 23 D Licen ed Drain ayer
Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: Q
INITIAL (Sig)
FINAL (Sig)
APPROVED e L
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(Sig)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 3 N i E D k W - - l ROAD
OWNER K
TYPE OF WORK
DATE 777777 PERMIT PIPE
INSTALLER L,,%
INSPECTOR DRAWN BY