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HomeMy WebLinkAboutDrain Layers Permit 120 Old Farm Road 7,777 TOW t of sou ,Tr io t t j DEPARTMENT OF POLLUTION_'COyTROL : B/P No. South.Windsor, Connecticut #_ List No:: t D.R A IN L A Y:'E-R',S P E RA I T r �D (yj�/�/T Pursuant to writcen.applicatior, ermiss"ion is,her`e`y gra tid to,the Licensed Drain Layer gag1, herein to"perform the work indicated 1SeI'ow at P.J• zt .�.2+ �d. f"f f•."� ©© on the z'j, r side, betty At premises owned by e whose address is and to Lay House Drain, "Repair Hoii a Drain, Lay Main,. Clther , t• for occupancy or use, �• _ with .; Family Units; with acres. ;. Type of Sewage to be connected under this permit: SANITARY $E�WAGE (, ), ,INDUSTRIAL WtSTE$ Connection will be made with P .Stf ,F Permit to be issued to, k_ a the holder of Drain Layer's License SNo Perm t will,ecire on 1 The undersigned`Drain Layer hereby agrees tp al� tle terms,and �Qditions set forth on the permit and the reverse side ,• t_ thereof. Applicant has received Town Permit No. and/or`�~H'D`Permit No: ` for street e:cayaron. SPECIAL CONDITIONS; et P Ej EN- V Signed i 'Connection Charge'Patd �� 1 a� Lieended Drain,,I:ayer Issued by Tax Collector Permit Fee:. Paid , iDd INSPECTION:._ Check Number: =- INITIAL (Sig) { FINAL (Sig)... €t, APPROVED (Date) INSPECTOR I Al