HomeMy WebLinkAboutDrain Layers Permit 94 Steep Road TOWN OF SOUTH WI N DSOR
' DEPARTMENT OF POLLUTION CONTROL
B/P No.: = �
South Windsor, Connecticut
List No.: _
S"s �
DRAIN LAYER'S PERMIT NO 630
31 023Y , 19 A
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 94 aStA'@4i Rind -1 on the
So tk side, between 1'I136i'le Drive and Grahm amd
at premises owned by Robert iai_ fsrim
whose address is 6:111 Fo
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for r4W_- e*ti P1 occupancy or use,
with 0::e } Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with U 1=ti n LJI& to n, 1cc LWr 1 tcogin ", ate 14+10 at a
Permit to be issued to •' • PiVNIA. Jr**
the holder of Drain Layer's License No. W94206363 . Permit will expire on 01 Oetaber 19 74.
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
3
Signed
Connection Charge Paid 07-31--74 ensed Dray} Layer
�' _ il�'ks�Tax Collector Issued by2� •
Permit Fee: Paid $ _Z!
INSPECTION: Check Number:
INITIAL e^s`?Js/ !�1,.�, .---- Sig)
FINAL (Sig)
APPROVED AUMBt 1974 (Date)
V (Sig)
INSPECTOR
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S u�
'9ECK �
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NOTES n�A, --��, Sea -F, SOUTH WINDSOR POLLUTION CONTROL
0 LOCATION S-reeFp RCA o i
OWNER p a ga r A S e l
TYPE OF WORK S Co.i,�tc r n�-I
t� DATE o - 4 PERMIT /,3 o PIPE "PLAN
INSTALLER
INSPECTOR DRAWN BY