HomeMy WebLinkAboutDrain Layers Permit 170 Pine Knob Drive _ TOWN OF SOUTH WINDSOR A .
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
List No.:
DRAIN LAYER' S PERMIT M 847
?9 1 yri 1 , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 11"D i'4an Lan', ??rib•+ ( LoT 30)
on the
Ly•9�' side, between
at premises owned by l#':i;Li ya.xsr't ••ry
whose address is
and to k Lay House Drain, Repair House Drain Lay Main Other
for l"ai`itiztirk1
occupancy or use,
with o a, l 1 i Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (%X), INDUSTRIAL WASTES ( ), OR
Connection will be made with S ix—i kit:+, <1l1 - p ti to a latf—r-a2 IA nnw;•x Is 'jtfg P'i ; I�
at a dwptli of 6o?l+0
Permit to be issued to ii:jS' ' '==iR!'tda: •
the holder of Drain Layer's License No. Permit will expire on 19 ?r,
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 r)1{,17/7r; Licensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number-
INITIAL , , ��� (� (Sig)
FINAL xs ' j} U (Sig)
APPROVED - ,7 1 /�j _ (Date)
(Sig)
IN$PBCTOR '""