HomeMy WebLinkAboutDrain Layers Permit 300 Pleasant Valley • TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT NO 37
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at i-i s •oss « , $_ s on the
t3*A ti side, nt�, y�'R �sia�, �s' ,4� syf► "
at premises owned by kww,.zAi , 0str AcjA#s" o#*
whose address is Aaa3 &.AgAt A- 74rL&U o^jk
and to II Lay House Drain, Repair House Drain, Lay Main Other
for a+e' &,AAslf A V Af, w occupancy or use,
with Family Units, with 3.Ir acres.
Type of Sewage to be connected under this permit:
NIE�, -INDUSTRIAL WASTES, OR
Connection will be made with $ rN ,�}64 r ie �'°Dr,a e
Permit to be issued to A& .,A a b A t,Y I ea.
the holder of Drain Layer's License No.Lye- ?rr'q 19* Permit will expire on 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 Aa
Licensed Drain Layer
I f f AtT At'W12k (Sig) issued by r t r r Y r Irt ae f'
Tax Collector
Permit Fee: Paid $_ :,1 a,,
INSPECTION: � ' K VC
INITIAL (Sig)
FINAL (Sig)
APPROVED ems/ s*, d,nAd 'd' egA9 (Date)
(Sig)
INSPECTOR
n �
ipp)a Fishman � `
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Ci. Road
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