HomeMy WebLinkAboutDrain Layers Permit 5 Sunset Terrace JUWN OF SOUTH WINDSOR
4g,6 . DEPARTMENT OF POLLUTION CONTROL B/P Na!
Sarah Windsor, Commodore, List No.: Z.Sit/o2 n
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\ '\ DRAIN LAYER' S PERMIT N" 1092
Pvauvm to .rioter vpplimtioq Permission is hereby gnveed to the Licensed Drain Later named herein to pee[oem
the work indicated belt', at 5" - Try- r ( vv the
aide, Names
at Premises owned by
.home address
and ro =Lay House Deain, _Repair Howe Palo, _Lay Who. _.her
for ',]It cculm"y muse,
with c (1) Family Uniuq wfth acres.
Type of Sewage on w connected wder this permit:
g TARY SHWAGR EX ), INDISlH1AL WASTES ( ), OR ( )
Correction wW he made with r • (610
Faces to be ieaved to S)F / .
ehe holder of Drain La➢er's License No. X420('46 n Pewit will expire on 1Jvly the� 19 "<.
The avderaigned Ratio Layer hereby ee agr ¢soW a the terms o con _pe ditiwv tee forth on the rmit ¢M e reverse aide
thereof. Applicant has received Two Permit No. and/or C HD Pewit No.
fine never excavation.
SPECIAL CONDITIONS
Connection,Charge Pam ^v-1^_4n. 9bn ]�e mac' Lited Dmin Laer
Lx Oollectm Paired by 1 1 q-,
Pumit Fee: Paid 5 . �{
INSPECTION: Clear Number 2 z47
INITIAL (Slg)
FINAL (Sig)
APPROVED Nlsr a Her)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
)having not to stele. LOCATION & t Te Lot 2
OWNER wf C d a g lvie A.
TYPE OF WORK
DATE PERMIT 2 PIPE6 " 65
INSTALLER 36l )
INSPECTOR DRAWN BY