HomeMy WebLinkAboutDrain Layers Permit 38 Orchard Hill Driv TOWN OF ,,,S0VTH WI N DSOR
DEPARTMENT OF POLLU31CN CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT em®475'
N? 548
'$ .• E , i g '14
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at __ 72P "►rcheICd P.Q.1 a 9r. C L*T:3 on the
south side, between Vofj :r
at premises owned by _T•,�>>r .� '
whose address is M le
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for readdestiAl
occupancy or use,
with OA02 Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with Six (6 L0.2.
I.
Permit to be issued to - A[1an 4ftem,'i r•m*i
the holder of Drain Layer's License No. 0--?��5r
Y Permit will expire on j alL, 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 ;tOldtl
Signed:'' ,.... .. f f
Connection Charge Paid 5,11,1"h Licensed Drain Layer a
PQr• +A Mogjz �:1 i1 N. a-T
Issued by Jre
Tax Collector
Permit Fee: Paid $ _ • °'__
INSPECTION: Check Number:
INITIAL i ./. � '�''�.�: c::- (Sig)
FINAL 0 �+ J' Y S_.: ?, (Sig)
APPROVED '` "' '' .tf (Date)
f, (Sig)
,�' INSPECTOR
J
r
N
3Y
vor
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK -w Epp L aTERac
DATE n9,9 i9; ERMIT PIPE
INSTALLER
INSPECTOR DRAWN BYG'-.-'