HomeMy WebLinkAboutDrain Layers Permit 539 Oakland Road ' TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER"S PERMIT ND 1673
Z , 19 ' L
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ��� / Q cc.K'G rL 4 Rv, on the
side,.between
at premises owned by .Jg-7 h adc(4 Ufl O
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 (✓, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with �o /"V< S C[n,v['a y P-c!
c�'4�: C )
Permit to be issued to—. oH S f
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 H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed ,tl
Connection Charge Paid / f' Lice se Drain Layer
7/D)79 Issued by G. .
Tax Collector '
® U
Permit Fee:. Paid $
INSPECTION: Check Number: =� '
INITIAL (Sig)
FINAL (Sig)
APPROVED 3`'7J (Date)
(Sig)
INSPECTOR
i
G�0
J
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 5-3�
OWNER > tJov0
TYPE OF WORK -�Z
DATE ?-03-75 PERMIT 73 PIPE v�
INSTALLER o �s
INSPECTOR DRAWN BY y