HomeMy WebLinkAboutDrain Layers Permit 175 Orchard Hill Dri TOWN OF SOUTH WI N DSOR
-�: DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut S Go F75
List No.: _
DRAIN LAYER'S PERMIT NO 814
21 Marnh 19----25
Pursuant to written application, permission is hereby granted to the. Licensed Drain Layer named herein to perform
the work indicated below at 175 Orchard KI I 7 Driv& Unt 6 — q&pl, RLa ,�►R� on the
Korth side, between Crentmad Md-We ORA—Avez7 $troet
at premises owned by waasza rRAFJWS J&. .} M4ty CLA.&*1
whose address is
and to x Lay House Drain, Repair House Drain, Lay Main, Other
for residential occupancy or use,
with On! Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (fit ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made withsix-inoh (6n) clastic pip*.
Permit to be issued to Rob&rt L. DKy a
the holder of Drain Layer's License No. W96,205935 Permit will expire on 21 May 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
Connection Charge Paid 03-21.75 Licensed Drain Layer
Receirt Noe 7% Issued by Malvin Edwards. Jr.
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED + /,eL2 ;` f (Date)
{ * (Sig)
INSPECTOR