HomeMy WebLinkAboutDrain Layers Permit 120 Northview Drive TOWN OF SOUTH WI N DSOR r '
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut oo
If
o � DRAIN LAYER 'S PERMIT No 41
Pursuant to written application, permission is hereby granted
granted to the Licensed Drain Layer named herein to perform
the work indicated below at / 0 6Ai V1jW _,. +lam' ty'r ( L4e. ��,,// on the
SOu't f4 side, between Z1t,1;#1c;A,. AL&C Pub �"4 4CAIAO? 44403 f &A b
at premises owned by &#!.a 0&4" Sye 7r
whose address is slip dC*r*#Vt&"j be o o
and to _ t Lay House Drain, Repair House Drain, Lay Main Other
for
occupancy or use,
with !wdr L_# Family Units, with acres.
Type of Sewage to be connected under this permit:
.ww
ANITARMY SEWAG INDUSTRIAL WASTES, OR
Connection will be made with ` A-ST 04L
Permit to be issued to IQ&'AM*4 lb &P rpt
Ar
the holder of Drain Layer's License No.&d2"j&.$"4QX' j Permit will expire onAff IA#Viiy� �+ 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the everse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed-
Connection Charge Paid $ Licensed Drain Layer
eth�`e��rd�0►�Dr e
Tax Collector (Sig) issued y rt
Permit Fee: Paid $ IV# CO
INSPECTION: 46,0A CM004 w,N. '4 g
INITIAL (Sig)
FINAL (Sig)
APPROVED m2/ Al V4r146oc 9jog (Date)
. BEd. �eA�K (Sig)
INSPECTOR
o 'f4
�J LLt�i� Ct3. S'T�•rr
.v4,
Lop-roylarw 'b E
70�
G,3'
� s
7.,
arid
t `34.."•`. ,`t.'irc`e�� ..f.,i'�1 ,. +eZ r.,. �+ � .-..� r)Y:'�k( ._.._-
' •.h am �� mm�. � M
ti .
k�o
w1 t
1 �
9
h
. • i
s ,. 3: age \;, i`IEC 3 17'k�- yf
a..t't6J$}. it%, ..ri8r f.' Za a.,..R .:�.,� `i' L-.t[ � C�.-.. Sl.�i..'�'i• i�'�.14 ...�...#,,, -` wow
^-
PiUd in
To be, vald in insta Lments yes.-.-
et a Lon.�C b�i tee,��^�j ap I loll`
chool, or Church)
u17i f 1., ��l7j��C��:l,a''E! ",dee!-1.'E;,t. +`•y���$yy�/
l: r11,-�... ),a)I 1�be0 �, sc-h, or. c ,) Area
Co ul
11J