HomeMy WebLinkAboutDrain Layers Permit 36 Sharon Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut --
List No.: _ l
DRAIN LAYER'S PERMIT N? 2010
J 3�
l9 �
Pursuant to written application`, permissio is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated'bel'o* at �/ J�'/Q h0 0 on the
side, between
t
at pre is es owned N 6
whose address is / .Q
and to "Lay'House Drain, Repair House Drain, Lay Main, _Other
for occupancy or use,
with n Family Units, with acres.
Type of Sewage ected under this permit: _ srf/yxt
SANITARY SEWAGE �,to�be -.IND.USTRIA�L :WASTES OR
Connection will be made with
Permit to be issued toi- n �l '� (" ,►i
the holder of Drain Layer's,License No. � Permit:will 'expire on l9
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 Pernr t:No.
SPECIAL CONDITIONS
Up Signed G
Connection Charge Paid yam. censed Dtai ayet
Issued b
Tartollector
Permit Fee:. Paid $ _ /�_0
/0
INSPECTION: Check Number:
INITIAL (Sig)
\. FINAL , t4ty. 0 (Sig)
APPROVED (Date)
(Sig) -
.77 INSPECTOR
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N° 36
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION S o ) VC—
OWNER
TYPE OF WORK 5 A 64 S p ui 2
DATE 7- 1Z- 9PERMIT 20 4 D PIP9 4ii
INSTALLER .
INSPECTOR DRAWN BY