HomeMy WebLinkAboutDrain Layers Permit 273 Quarry Brook Dri f'
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut / 7�f
List.No.: _U/
DRAIN LAYER'S PERMIT NO 1863
A q ,� 19 z 2
Pursuant to written application, rmi Sion is hereby granted t the Licensed Drain Layer named in to erform
the work indicated below at 2 here on the
side, between
at p m. es owned by ,
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with (J Family Units, with acres.
Type of Sewage to be c ected under this permit: �-
SANITARY SEWAGE ( �STRIAL WASTES . , O
Connection will be made with
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
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Connection barge Paid V66, U U Licens rain Layer
-?gt/3L(
- Issued by
Tax Collector f/sy
Permit Fee: Paid $ IS—,OU__
INSPECTION: Check Number: /�aS13 1
(Sig) /
INITIAL �v! WS-3
FINAL (Sig)
APPROVED (Date) f J
INSPECTOR (Sig)
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