HomeMy WebLinkAboutDrain Layers Permit 58 Sycamore Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Wlhdaw, Connecticut B/P No.: [[ ���� �� �� //
Let No.: _ 61LI(oL —
DRAIN LAYER' S PERMIT NQ IM
&TOWR 2! , 19 en
puremw to orboor npplicetioq permission is hereby Mated to chat Licensed Dark Layer named herein to perform
rise work indicated below ec Y4 T, 9A on the
aidq he Wee
cat Premise, owned by An a.VIL
whose address is
and to ylyy Names Drain, _Repair No=, Drain, _Ley Win( _Otlm,
for
occupancy or use,
with Family links, wid,
Type of Sewage to be convected asset this Preemie
SANITARY SEWAGE W, INDU8'I At��� s. ( >, OR ( >
Connection will be made with fY
Permit to be issued to ZA n B uena Z
the holder of posts Layer's License No. Permit will spite on 19_
The mmim,igwd Deein Layer hereby agrees 0 all the More nod conditions set loan on the side
Nered. Applicant has received Tows Permit No. end/w C HD Permit No.
for a v
s�SPECIAL CONDITIONS
Connection Charge Paid .. IZ'/8 Signed ueeaam Damn L. n
y
in ; kaued by
Tax CollectorII��
Pernh Pee:. wia a.dam
INSPECTION: tlm& Number: . 09,2/
EITTIAL
FINAL
APPROVED D'Z6 . 7 (Date)
INSPECTION , Xq (Sig)
2I I
�owfi�
28 36�
Shy>. 0Xr
NOTES SODTN WINDSOk POLLUTION CO ROL
LOCATION laf .2�SY fa E AS.
OWNER Lo- Gars.
TYPE OF WOM M Gn fen
ATE o- a6 9Y PERMIT 7 PIPE "A/O
INSTALLER aca Duccl
INSPECTOR DRAWN BY