HomeMy WebLinkAboutDrain Layers Permit 297 Oakland Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut 3 �
List No.i —
DRAIN LAYER,'.S P'ERM'IT
N° 2447
jcz4d lor— 19
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Pursuant o written applicarior, pernaission is hereby, granted to the Licensed Drain Layer med erein to iform
Y..
the work indicated beloar at" �lG► "-on the
side, bet,we n
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with s Family Units,.with acres..
Type of Sewage to/be connected under this permit:
SANJ-TARY SEWAGE ( , INDUSTRIAL WASTE$ ;( ), FQR :(
Connection will be made with
r - - -
:1
Permit to be issued to = :,
the holder of )rain Layer's License No. Permit will expire on 19
The undersigned Drain Layer hereby agrees to.all the tertris sii�C condition set,#orc ,on the permit and,the reverse side
thereof. Applicant has received Town Permit No. and/or C-11D Permit No.'
for street egcayation.
SJ?ECTAL`CONDITIONS , , .. . � .
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o�DO Signed 41
Connection Charge Paid " 'QQ;af ff Liceh Drairi'Layet '
Issued by
KI�p� Taa Collector ,
,` �✓ Permit�-�ePaid $ _ _��
INSPECTION• Check Number: sa
INITIAL (Sig)
FINAL (Sig)
APPROVED - (Date)
(Sig).
INSPECTOR
o
1 h
NOTES SOUTH WINDSOR POLLUTIO COI;T
LOCATION
OVILNTER
TYPE OF WORK S�e �� . e w- A✓ � {,r
DATE/0 / —7RFAMI—T
INSTAL F R
INSPECTOR S C DRAWN BY
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