HomeMy WebLinkAboutDrain Layers Permit 598 Pleasant Valley TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.: 1,3 �
DRAIN LAYER' S PERMIT NO 1457
`(44-Y V 1 719 7,
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to-perform
the work indicated below at &&cc'un) Va"e, po Ve- on the
side, between
at premises owned by Xnbe►-e A1-Se► a,tA J-�
whose address is
and to _ Lay House Drain, Repair House Drain, Lay Main, Other
for ep�E��I9E/y%fL> occupancy or use,
with �!V Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (yC), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with_ C9
Permit to be issued to
the holder of Drain Layer's License No. 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 — G
Connection Charge Paid /;L�f L—Ve'�l /icenCs�ed Drain Layer
zA
Issued by �<
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: ?
INITIAL (Sig)
FINAL (Sig)
APPROVED 7, (Date)
(Sig)
INSPECTOR
1
45 45 G V
220
WE /I
N PORC►4f 10 ,
-� 47 5' ' , SN ET -` 902
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 548 Pleasant b411e Dr+ve
OWNER Robec± Arsemawl+
TYPE OF WORK o +'
DATE iA PERMIT PIPE
INSTALLER W, M K i ran e
INSPECTOR .T DRAWN BY T.L.