HomeMy WebLinkAboutDrain Layers Permit 107 Troy Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Cm mct uut
List No.:
DRAIN LAYER' S PERMIT NQ 2387
4 as , 10
Pursuant to wrote, cpplicw i,r, pnmisaiov is bbm,by inured w c , Licensed Dais Layer named herein to perform
the work indi,,md belaw •t 167 /i1 fn� ov the
side, betxe �n
•t Emotions award by
whoa, address is
I'd to _Lay Hwee Dmm, _Rupert House Date , _Lay Na'v, _Other
for
ccopancy or use,
with Family Dam, with acres.
Type of Sewage to be enhnced order this fewer;
SANITARY SEWAGE ( ), INDUSTHUAL WASTES ( ), OR ( )
Cvweaion will be made with
Permit to he issued to
the holder of Dutch Layer's License No. . permit will e,Fre on 19_
The undesigned Drain Layer hereby agrcee w all the serum, add conditions set foati on she peimtt Zthe rev a side
thereof. AMU...t hms received Town Fatmir No. and/m C HD Permit No.
for ,veer ...•rather.
SPECIAL CONDITIONS
Y /143
/ Conmectim, (Throne Paid U[?n Signer Lrcenred DtaL, Layer
.1' .. Tax Collector issued Fq
A"YW4J3Y 00 Ga>
Pavtl[ : Tend A
INSPECTION: Cheh Number
INITIAL 4,�/IY//F[Jl��
FWAL (gig)
APPROVED (Dam)
(Sig)INSPECTOR
N
1
I
is
NOTES / P 30UTH WFNDSOR POLLVfTON COPfi. R�L
O- ��' INSP ^OR " ry DRAWN ttY _