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HomeMy WebLinkAboutDrain Layers Permit 373 Pleasant Valley TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: Mr 2 South Windsor, Connecticut List.No.: DRAIN LAYER'S PERMIT N? 1125 2�3 k D r n� A,lc�i i-, %19 1 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to-perform the work indicated below at Tea-- ],esioant Vo'l l e t_R6n.d on the side, between Nu-tmgg ROMA& III-toA Driit at premises owned by VOTTRNTE'R, Al hart R. thv whose address is Same and to _X_Lay House Drain, Repair House Drain, _Lay Main,; Other for rani den ti al occupancy or use, with one (1) Family Units, with acres.. Type of Sewage to be connected under this permit: SANITARY SEWAGE ( , INDUSTRIAL WASTES,-( ), OR Connection will be made with. iX-ineh (62) pine to a lA ' .ral known As Stp. 13+14', at a a t ; Permit to be issued to �Vi i-n P. CnvanRky the holder of Drain Layer's License No.-. .Wax" Permit will expire on 02"October 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' betweenso paraance hallee Rawer and water taervire at' all flIMPA Signed -1"e_ Connection Charge Paid p7-22-76 Licensed Drain Lay;¢ '�Q - ;9 4002 Issued by Mal-irtn EdW r�. .Tr- Tax Collector Permit Fee:. Paid $ INSPECTION: Check Number: , INITIAL-. o ZELP e /4SG / .- (Sig) -- FINAL 2. (Sig) APPROVED u -u S:r9 76' (Date) (Sig) IN9PECTOR r d A /7, s© v A h N qq CV) 4s La NOTES SOUTH WINDSOR POLLUTION CONTROL Drawing not to scale. LOCATION OWNER e <�•Y 1, 14 `a'� 1� + ` ' "" TYPE OF WORK House Connection -Eve DATE ca-&,4- 4 PERMIT 1125 PIPE G 1'A V. C INSTALLER V' W - 4 ' INSPECTOR Se, DRAWN BY