HomeMy WebLinkAboutDrain Layers Permit 175 Skyline Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: S--66 F4
DRAIN LAYER'S PERMIT
N°, 808
n/V.
Pursuant to written applicatiorr, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at lr,@�U„� __�_ _• ,.____ I
��*V Lam+ 76) on the
side, between High Btr!!t and NOM Road R.O•W•
at premises owned by
whose address is
and to x Lay House Drain, Repair House Drain,
Lay Main, Other
for aidential '
occupancy or use,
with Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR
Connection will be made with .in _h (6tt) 1a.tiC taitt�
Permit to be issued to.Vineant y.,„.. r a A.�, t�
-r—h'i� Co.
the holder of Drain Layer's License No. �(�
The undersigned Drain Layer hereby agrees to all the etterms and conditions set Permit lforth on heire ��nd the reverse sid�
thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS
Signed
{ Connection Charge Paid 0 ( Licen�d Dra' a er
R!Clipt No. 747 Issued by �'x'usk J• Smith
Tax Collector
Permit,Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED 06 Narch. 1975 (Date)
INSPECTOR (Sig)
I