HomeMy WebLinkAboutDrain Layers Permit 43 Northview Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut q
DRAIN LAYER ' S PERMIT N'O 57
19 7a
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 412 4141t-7 I A"'/,"41..P �L(p on the
side, between e'l—
at premises owned by /"� '�'i � ' "�•
whose address is 7 `3'1.4 irZ e
and to XLay House Drain, Repair House Drain, Lay Main Other
for S ,A,C.L 4"' RJ.5 9°1,.'4,
occupancy or use,
with ' Family Units with '�- acres.
Type of Sewage to be connected under this permit: '9,-f -z., t'"'W+t_
SANITARY SEWAGE, INDUSTRIAL WASTES, OR r
Connection will be made with ,0"`.''1l, / 74r
Permit to be issued to � e�tr'� 7 "�J7C d„4A"" 4 e....
}� ftp/ss
the holder of Drain Layer's License No. Permit will expire on /Q / 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 H D Permit No.
for street excavation.
SPECIAL CONDITIONS
,fb&_ Signed
Connection Charge Paid $ 41,04,
Licensed Drain Layer
. Y11'4
(Sig) issued by Tax Collector
Collector
Permit Fee: Paid $
INSPECTION:
f
INITIAL - (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR'
Act
�br�dEbJ 1 i•�
7
ell
37"
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Ffuew.SC `pi GQ�IZ
l4c2-rfivIc��: �aZ►•t�
for
0
43 NorthvLew Drive
H Zarry S
_.7ugilver .
V wm rd
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East O
p
a al
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Area
o rel g e Fl oot
_11_3LqQ
.102 P,
x, I.ate ra
Total De ferred
Cave,ac F-i-Ice, Ye S
eS
Ld it u 11.
be O-Rid In
9 ilnnmol.
J.11
r :I
G fl "he r
-re )T, f)L at
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Uer 0 400._AO"
ec
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f J I!A I Control, Vibert i)oad