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HomeMy WebLinkAboutDrain Layers Permit 57 Sycamore Road TOWN OF SOUTH WINDSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: Saaeh Piastres, Ca....first Lis[ Na. DRAIN LAYER' S PER N4 m81 AdadsT / , Of ix Forearm cc writers apidimr o� pe[miaeian s hereby gn d the Undated Dme Layer named farmers to perform , the work indicated below at�T LOT L'$( —,, the aide, her. at totaled, owned by Ld ft" whose adal m, I and to __'6 Lay Hwae 'Darin, _Repnu Hooae Orris, _Ley Main, _Other j for r a /ApM}r'T I PerryI'l, with ?IUE Family unaa, with e.. Type of Sewage w be ......red under this permit SANITARY SEWAGE ( XL EaDUSTRIAL WASTES { ), OR ( ) Conoecties will be made with PermB. mbelasurdeo SACQZMCCT 's rOARclT [he holder of Oran Least s Licen No. Permit will expire on 19 The unders:gtrad Drain Layer hereby agrees to all the terms and conditions set fm[M1 so [he perms der aWe thereof. Applicant has receimed Town Permit No. and/or C H D Permit No. for street eacwra[ SPECIAL CONDITIONS Com tg ecried Clue Paid IQ $Z_ Signed L:Cemed Orrin yen Llocated by Tas Collector � Pevnit Pee: Paid g laZp /.__ INSPECTION: Check Nastier: N'1TNL (Sig) FINAL p (Sig) APPROVED J ' // (Date) IDa� (Sig) INIMPECTOlt N j i �rec NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATIONS YlE for 236 OWNER Ln.Cava TYPE OF WORM Those Gnnecfuw DATE 9'5-9B PERNPf / e/ PI 6 " iv0 INSTALIER 9 a uCC 2' INSPECTOR DRAWN BY