HomeMy WebLinkAboutDrain Layers Permit 34 Pleasant Valley R TOWN OF `SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
Sfoo6 Z
DRAIN LAYER'S PERMIT NO 2
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at a¢'1/ 4,L.A.s.«x �srit`�i r } lG on the
t
side, between�''�;,*' {++ ;;j°`:>:r rt+: �•� e� ''fit+�ar
at premises owned by
whose address is 2* AL1"_..";le'y'l 14tey A70AS
and to ilf _Lay House Drain, Repair House Drain, Lay Main Other
for Art i$j',4 g s c& occupancy or use,
with t�eajk Q) Family Units, with acres.
Type of Sewage to be connected under this permit:
.�NI S W G
INDUSTRIAL WASTES, OR
xt
Connection will be made with yc e
Permit to be issued to &',Ii i
the holder of Drain Layer's License No.409' 6.,C9,Bj4 Permit will expire one? J' `Vst"H< r•, 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
Signed
Connection Charge Paid $ Licensed Drain Layer
(Sig) Issued by ^' Y /
Tax Collector
Permit Fee: Paid $
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED t21 M:$#r 94a (Date)
F.t"00 K (Sig)
INSPECTOR
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List No.!3-00
Tear :viz 2
!;',r.rr your co aaveniewnce, the .kTvar Como a s ion vt tl.4�,
Town of South. Wl',ldsor permitted connection of tti.w
This ached=Le is now completed acW adopted and the
connection char,P,es c e
4400,,00 -ow unit
Other th ai a esidential b- $1,060.00 per acre
Y charge has been computed and Lig
shm-nA below,. T I.s amunt is dtw. and payablke out
aprii I 971,
If ymn hz. -, any qiveationna, please call tN.-, u,I,Vywr
'A mrt�f!:d lm XI;iwT'iM1f[�fY9l!!J/Y.`:it3'N49Y_
�`•''+tK�4' �1C ka< ;�!?��,t,�� =,��.'.�:�,��:�'If.��:��,:�v� � �;�Y"�R&§�,'���5!� ���'�"'�'f`'��� �' ��8 06
d�i.RC' tM�P'LIRYlT q �.u>G�Mu::iiOn•N-�fity;G a'.r.•io-.-.
ax, of dA.cras (0t.k�f�� � �.a i3��n� 1t�����im$;t�3�?�1$ll �r9i'sz
Veryq truly
(.rE4¢¢ cyyAr
on`Q.`,iYY 4 'hJ.4lOR
Yile , . OVAL
.: t l,l► 14 17
A-4Q
34-
Residential
t�
� Pl4e45 a !/ d
z.
ilo , .o0
]..._ 200.00 20p.00
1305,00
A f
-
,. 145.00
t
400.00_ 400.00