HomeMy WebLinkAboutDrain Layers Permit 636 Pleasant Valley r
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut s. �0�93
List.No.: _
DRAIN LAYER'S PERMIT 1018
09 December , 19 5
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer'named herein to perform
the work indicated below at 636 Pleasant Valley Rd, on the
side, between
at premises owned by_ Henry A. Syphers
whose address is same
and.to _XX Lay House Drain, Repair House Drain, Lay-Main, Other
for residential
occupancy or use,
with one Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (W),,INDUSTRIAL.WASTES OR
Connection will be made with s3Y inch .plastic pipe
Permit robe issued.to Hen A. Svnhers (Homeowner)
the holder of Drain Layer's License No. Permit will expire on 09.:January 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 i 7 r. .
Connection Charge Paid 11/20/75 Licensed DrdW Layer
j
- 905 Issued by M. Timothy Friend
Tax Collector
Permit Fee:. Paid $ 15*00
INSPECTION: Check Number:
INITIAL r'.' y (J(+1 is)
FINAL y It/ 14 z 7 (Sig) F
APPROVE (Date)
(Sig) wr
R$KP11tTOR
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