HomeMy WebLinkAboutDrain Layers Permit 79 Quarry Brook Driv TOWN OF SOUTH WI N DSOR
DEPARTMENT OF -POLLUTION CONTROL r_
B/P No.:
South Windsor, Connecticut List.No.: _
DRAIN LAYER'S PERMIT 1024
tA penainihor
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to-perform
the work indicated below at - 79 A11nrrKr -11
_}, nY.{eA (rt fi) on the
- northside, between
at premises owned by
whose address is
and to _XLay House Drain, Repair House Drain, Lay.-Main, - Other
for rmsirlwr►t jn1 occupancy or use,
with MA 61. Family Units, with acres.
Type.of Sewage to be connected under this permit:
SANITARY SEWAGE a ), INDUSTRIAL WASTES ;( ), OR ( )
Connection will be made with oft--inch ( ! n1"tic Sdoe R
Permit to be issued to -- PBU L. Con y
the holder of Drain Layer's License No. W9-205918 ' Permit will expire on 18 robMi81"1t 19 76 .
The undersigned Drain Layer hereby, agrees to all the terms and_conditions set forth on the permit and the reverse side
thereof. Applicant has receivedt Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed a
Connection Charge Paid,12.18-7.5 Licensed Drain Layer
Rec. #I 921 Issued by Frank J. Smith
Tax Collector
Permit Fee:. Paid $ 15.00
INSPECTION: Check Number: 7435 _
INITIAL (Sig)
FINAL (Sig)
APPROVED-3O (Date)
TOR (Sig)
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