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HomeMy WebLinkAboutDrain Layers Permit Lot B Pleasant Valle TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut List No.: s= DRAIN LAYER"S PERMIT NO 1161 08 November , 19 76 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at Lot B Pleasent Val-ley Rd on the North side, between at premises owned by whose address is and to XXXX 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 (XX), INDUSTRIAL WASTES .( ), OR ( ) Connection will be made with Six inch nl asti c Pi nP Permit to be issued to Bovio Colabella Y` the holder of Drain Layer's License No. Permit will expire on_08 December 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 Lay lateral in street; post wavier— see attached Sig ed Connection Charge Paid is ed rain ayer Issued by M• Timothy Friend Tax Collector Permit Fee: Paid $ INSPECTION: Check Number: INITIAL (Sig) FINAL (Sig) APPROVED (Date) INSPECTOR (Sig)