HomeMy WebLinkAboutDrain Layers Permit 97 Palmer Drive TOWN OF SOUTH �WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No. "As 4►if a
DRAIN LAYER'.5 PER IT N? 741
Pursuant to written application, permission'is hereby>granted-to the Licensed Drain Layer named herein to"perform
the work indicated below ati i� lx'. ,Yldt �L,(j:1
on the
1i`a:Et side, between 45711
at premises owned by John Young
whose address is.
and to X Lay.House Drain, Repair House Drain, Lay Main, Other ,
for Red deAua occupancy or use,
with Family Units, with acres.
_.:
Type of Sewagg tQ be connected under this permit:
SANITARY SEWAGE (�X j, 1N1)USTRIAL WASTES .( ), OR
Connection will be made with Six Inch p1natic pipe
dt .A, LAIDIE.
Permit to-tie issued to' '
the holder of-,Drain`Layers L icense4 No.._'- / Permir vill expire one 1 4 19
The undersigned Drain Layer hereby agrees to all the'tetms 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' Licensed Drain Layer
Issued by Fr nk J. Smith
Tax Collector
00
Permit Nee: Paid $ _ 5*
INSPECTION: Check Number:
INITIAL F.F7aa.
(Sig)
FINAL h'.J.s.
(Sig)
APPROVED 11 19 5130 .M* (Date)
INSPECTOR (Sig)
a
r
N
I �
C) +
0'01
O,X s
1
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORle
DATE J1 J 4ZVERMIT 752V PIPE
INSTAL R
INSPECTOR DRAWN B