HomeMy WebLinkAboutDrain Layers Permit 285 Quarry Brook Dri .TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut
List No.: _�,�Z
DRAIN LAYER' S PERMIT NO 1862
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at i c 2- 5 �- j (/� r i� n ems: ({ �� �_on the
side, between (J ✓
at premi es owned by--- ° 1 -
r r
whose address is ,w 1?l Q i
and to Lay House Drain, Repair House Drain, Lay Main Other
for occupancy or use,
with 426L._Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL%WASTES ( ), OR
Connection will be made with_ C!� �, C
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
417
� ?5? 'J Signed
Connection Charge Paid 7,�)Q' v Licensed Drain Layer
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Issued by
Tax Collector !� t 7
Permit Fee: Paid
INSPECTION: Check Number: 1�Z�y3y
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INITIAL (Sig) // l
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
A
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