HomeMy WebLinkAboutDrain Layers Permit 87 Pine Tree Lane ;. TOWN OF SOUTH WINDSOR _
` DEPARTMENT OF POLLUTION CONTROL-
South Windsor, Connecticut
DRAIN LAYER'S PERMIT d' 204
, 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein.to perform
the work indicated below at on the
side, between
at premises owned by Numa 16 Reftm
whose address is1
and to Lay House Drain, Repair House Drain, Lay Maim,:. Other
fori>i occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE INDUSriRIAL. WASTES.; QR;
Connection will be made with (6y) ,
Permit to be issued to,
the holder of Drain Layer's License No. Permit will expire on 47 0*4 1973
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 f4 NNW* 4 b041ft*= P11W Imoo
Signed
Connection Charge Paid Licensed Drain Layer
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INITIAL
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FINAL (Sig)
APPROVED . W3 (Date)
INSE CT (Sig)