HomeMy WebLinkAboutDrain Layers Permit South Satellite Road (7) TOWN OF SOUTH WI N DSOR
DEPARTMENT Of POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT
p 526
mar"-1 , 19 74
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named 1herein to perform
the work indicated below at � ty g.*a►ti4ilk t+i,,.lirfYa; on the
side, between
at premises owned byiQix I3rQ.
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 R 4-sa lk
Permit to be issued to 116ha +t L. lk ■
the holder of Drain Layer's License No. Permit will expire on Ill" 13 19 4
The undersigned Drain Layer hereby agrees to all the terms and conditions set foth.on the permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation. 4 7 .
SPECIAL CONDITIONS RM&x dyer to W+vido go-build p>rirt of instala.tidi w**&
sc�r�l+�tdd
Signed,
Connection Charge Paid' N*A• 'Licensed Drain Layer
Issued by Ralpk A. Stsrkwt*tkar Jr.
Tax Collector
Permit Fee:. Paid $ _25.00
INSPECTION: Check Number: ' 1
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)