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HomeMy WebLinkAboutDrain Layers Permit 208 Old Farm Road ' TOWN OF SOUTH WI N DSOR " D�'PARTMENT OF POLLUTION CONTROL. B/P No. South Windsor, Connecticut List No. _ DRAIN. LAYER'S PERMIT .5 UdAth J5 19 Pursuant to,written,ap licatior, penhissi n'is hereby granted to the Licensed Dra�ntLay�nazoed herein to perform :. yf , sf. the work indica[�d below at; (�1 I T?( r S on the. AM 7 s 1- 1 ide, a een gyp.. r _ i at premises owned by whose address is and to Lay House Drain, Repair Hous'e.Drain, Lay Main., for r occupancy or use, i r with r' ~Family Units, with acres:. Type of Sewage to be connected under i9is permit:-. & j SANITARY,SEWAGE ( ),JNDUSTRIM, WASTES :( ), OR Conhoction will be'made with _ a t Pernit,to.be issues}-:!to Y the hglder of Drai .Layer's•License No4, x J Permit,will expire on 39 ` The npdersignedz-Drain•Layer .hereby, agrees to 'a11.t e.term end conditions set forth ot}xhe pein <and the revers' side 1 r thekof .f. Applicant-ha's received Town.Permit:No, '`'and/or'C H`I? Permit No. Fr r for street excavon, , i SPECIAL CONDITIONS ` f a' , �. Signed Connection.Carge Pact Q' d Licensed Drain Layer _ n! �'�....:�• Issued b r T Cs I.4c r=. r. Y Ei Permit Fee ,Vzam INSPECTION:- Check Number:• µ. INITIAL (Sag) FINAL (Sig) 3f .3 .3 f APPROVED t . :(Sig) 44 INSPECTOR {{