HomeMy WebLinkAboutDrain Layers Permit 103 Northview Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT NO 50
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Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at I Olt "11OV,,dr*rj '%)A**$&rt" on the
Iota lM side, between4s#^#*#* laivir �A�+ 1Pe�►4
at premises owned by ,00444 6 �i,� ,u*s
whose address is JOS 4+�t'�'9�/1HCW Aiyer
and to ,f_Lay House Drain, Repair House Drain Lay Main Other
for A4'$r0bilrWlpiaA— occupancy or use,
with t ,4 Family Units, with acres.
Type of Sewage to be connected under this permit:
ITARY SEWAG INDUSTRIAL WASTES, OR
Connection will be made with 4 s1 &AI rfe. 04 Poe
Permit to be issued to#40.w4z 4), r&Ate .., X,/ st-ot W4- 0 *4oleyrp
ool
the holder of Drain Layer's License NO.W9. 3JIV19 7r . Permit will expire on 4014446*«d 144 4 1974 .
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the roVerse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
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SPECIAL CONDITIONS
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Signed`ri •�wC
Connection Charge Paid $ 00.,0d License Drain Layer
(Sig) issued by ->
Tax Collector s
Permit Fee: Paid $ 4jri atl
INSPECTION: 4100WAC ,A140. 4744
INITIAL (Sig)
FINAL ^� (Sig)
APPROVED �VKrFNffiR (Date)
(Sig)
INSPECTOR
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