HomeMy WebLinkAboutDrain Layers Permit 175 South Satellite TOWN OF S® � ' _ WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.: _
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT No 522
dim_ '30 197_
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at '►'Ir mmm.,h nd. on the
North side, between P--minor l i 11!rhwj y 7, Rt 5
at premises owned by__ 9r R, it6l ?itay
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other •
for 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 ViX I NC4 (6) X'. V. Co
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on Hl!rell ,I 19 r?4
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 All`
Signed
Connection Charge Paid 1/'.-0.1�14 Licensed Drain Layer
Per. _#;w Issued by 5�,'_�� ,� ` ".r,!-W1/�lt�it*Y ;,Ho
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: p'!
INITIAL J �0�r 0 0 A?/Yj (Sig)
FINAL O 0 G ,' 7 V (Sig)
APPROVED `�'- i / "�G (Date)
(Sig)
INSPECTOR