HomeMy WebLinkAboutDrain Layers Permit 97 Orchard Hill Driv ' TOWN OF SOUTH WINDSOR AN
DEPARTMENT OF POLLUTION CONTROL
CSouth Windsor, Connecticut '— ZO J: .7
DRAIN LAYER' S PERMIT N? 467
30;Detolier ' 19— 23
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 97 ►0=Ii•.r,? YIr°1 i)ri xa• CLoT ,s3 on the
side, between [,%)0 -rn street nud Ptestwood Di'd"
at premises owned by— A f-ems .�`a +t� ti93
whose address is ell.-Irj
and to _ Lay House Drain, Repair House Drain, Lay Main, Other
for �--fni?r-,n•Fd,q1 occupancy or use,
with ont-€ (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with ,anti c pipe
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on�,, 19 _
nvj
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit an 'the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS Drain JilL,er to pop- 1-3njeban►a hnnkfl j I �s in t=k,
Signed
Connection Charge Paid ( 1C- "�-•'i Licensed Dra n Layer
:Per ReCAJ'►t N 3'� (Sig) Issued by PE-1'�11
Tax Collector
Permit Fee: Paid
INSPECTION:
N'3t9�+H:'t
INITIAL 44--; (Sig)
FINAL `,/�]—�_ (Sig)
APPROVED (Date)
X'
r (Sig)
r
��o
N o 2s �
00
7y ,
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION Of 7
OWNER fol4F E
n TYPE OF WORK
DATE PERMIT PIPE /°.,Njfe
INSTAL yC Cj
�� 2-� INSPECTOR RT DRAWN BY ,__J,