HomeMy WebLinkAboutDrain Layers Permit 15 Palmer Drive • rye '�: ' TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut 6oF�9
List.No.
DRAIN LAYER'S PERMIT N 967:
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Pursuant to written applicatior, permission is hereby ranted to the Licensed Drain'Layer named.herein to.perform
the work indicated below at yall 'f .e ( t • ion the
no
aiae,7 , sa►a# Q4x"Ad ''E� dr Fi:
rt
at premises owned by ANSOMT77
Me) �[ aeelron,� L.
whose address is 8=0 -?+
and to X Lay House Drain, Repair House Drain, Lay-Main,: Other ,
foi roAddeati a
occupancy or use,
with ono Family Units,,with acres.
Type of:Sewage to be connected under this,permit:
SANITARY SEWAGE O, INDUSTRIAL WASTES (' ),'OR '( )
Connection will be made with SJX-JAGh 91 i.Q A ! to t Zato / Sum «I# &' $ " •. `
a depth of &2 NOW lat-414d 10 44 41glift M A
Permit to be issued to JOW A-+ Gaon
the holder of Drain Layer's License No. Permit will.expire on 29 90644bet 19
The undersigned Drain Layer hereby agreks to.all tht LL terms and;conditions set fbrth 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
4.
Signed: ,
Connection Charge Paid License rain L yer
ea $?8 Issued by �e�. idae�rdst.Jr+
Tax Collector
Permit Fee:. Paid $ 1540
INSPECTION: Check Number: .Z1
INITIAL to/zo Apse ---- (Sig)
FINAL ic/19 - /3aS (Sig)
APPROVED ' IV9 a�-+m�,�`d /`914/ (Date)
(Sig)
INS CTOR
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