HomeMy WebLinkAboutDrain Layers Permit 492 Pleasant Valley TOWN OF SOUTR. WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.
DRAIN LAYER'S PERMIT 533
April 8 , 1974
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 492 era"t Y414W, Rd+ on the
ll*rth side, between-- _ 1*14e 1 taa Rio
at premises owned byftmisoNa o ftOre!
F
whose address is ai►1�
and to X Lay House Drain, Repair House Drain, Lay Main, _Other ,
for Reaxi,a�l+aalttia�.1 occupancy or use
P. Y
with one 0) Family Units, with. acres.
Type,of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES OR ( )
Connection will be made with six (6) lAck pla stie Ape
Permit to;be issued to a01FA
88
the holder of Drain Layer's License No. 0 Permit will expire on Jun* 8 1974
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 4/1/74 Licensed Drain Layer
Por. Es Maxis Issued by Rawl.pk A. Starkweatthar Jr.
_
Tax Collector
15000
Permit Fee: Paid $ _
INSPECTION: Check Number:
si474
INITIAL (Sig) ,
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
a
N
D
y,
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER i' oh/
TYPE OF WORK �✓,g.P �- ,g
DATE ERMIT _ PIPE
INSTALLEK
INSPECTOR DRAWN BY L ,