HomeMy WebLinkAboutDrain Layers Permit 230 Pleasant Valley \ -
IIN OF SaUTH 111/IN�D��i��t
' r EPARTMENT OF .POLLU' IONGfNTROL .i
No.
South Windsor, Connecticut . !Cow ..
List No.
DRAIN LAYER'S PERMI91
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform y
the work indicated.,below at on the
side,;bet
�en � '
at premises owned by �+ �
k
whose address is
-end to Lay House Drain, Re air House grain Lay Main° Other p
-.
foI +
„ ocuytgane.y o€use, w Ff
with Farqtly':Units,;'with acres ;�
Type of Sewage to be connected under this:perma: : sSANITARY SEWAGE ( }, INDUSTRIAL WASTES
Connection will be made with �0
Permit to be issued to
the holder of DfAin La er's License N t ..
Y 4. y� Permtt +ili epn a an` IV 19 -r
The undersigned Dram Layer h'-by agtees to.alltthe terms and'tonditiot— 'set'forth 4h t4 permit and the evease-side +
j If
1.
thereof. Apphcaat'has received:Town.Permit:No and/iar C H U'15e�rmi`f No. `t
6 L
:.'for street excavw' .X
o ..
} SPECIAL CONDITIONS , ;r
4
a:
f1 .Us!' deb 5 1 i � {t s
.. : _Signed i^'. 9, k�1 jv
Connection Charge Paid License Dra} ayer i KT y
' Issued'liy t r �, •t
Tas Collector
Permit Fee:. Paid $ "
INSPECTION: Check Number:
�., INITIAL
FINAL (Sig) t .
f
APPROVED "* } .
y�.a r .z�.lr K� :• F s ,
(Sig)
:. INSPECTOR h� r' ►� i
r
N
r�
�L f-gsptJ7- Ra
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 120L F,9S,Q.vi ,Qc� ,o
OWNER S ILC�ic ✓ ,o c
TYPE OF WORK E&-j_2
DATES PERMIT PIPE Svc
INSTA LE
INSPECTOR s DRAWN BY J