HomeMy WebLinkAboutDrain Layers Permit 49 Troy Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P Na.:
South Winds", Cenneaoime Let No.:
DRAIN LAYER' S PERMIT N" 2454
ed /-� . Ip�
Pursuant oo antes, appli ertby granted to the Licensed Drain Layer resume herein to perform
the week hotheaded below at 'I� U/1J01/ on the
de, he
at peemiaea owned by )f
whose address is
aM so _LAY Holes Drain, —Repair House Drain, _Lay Main, -Other_,
foe occuryincy or use,
with Familyum", with .
Type of Sewage to be tern..led uad,, chi, permit:
SANITARY SEWAGE ( L INDUSTRIAL WASTES ( J, OR ( )
Connection will be made with
Permit to be handed to
the holder of Drain Layer's Lie.... No. . Permit will rapine on t9_
The old evround Drain Layer hereby rag ... to all the terms and conditions sea forth on the Permit ,a tthe reverse aide
thert.I, Applicant ,as ....road Town Permit Na. and/or C H D Pamir No.
far :pelt escdvanan.
SPECIAL CONDITIONS
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A/gil"Ition Charge Paid /M-00 Signed - Licensed Drain Layer
atN - Le)oelf'W. leaved by
ohrl). The CnHacew
Permit For End 8 .[�2�_Uo_
INSPECTION: Check Neithera
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INITIAL mg)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
N
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ROTES SOUTkl 14INDSOR POLLUTION COki ROL
LOCATION 7 ✓e..r
ONNBR WO
TYPE OF W- L/ Se wv.
DATEALT - / 0ER p S PIPE
INSTAll TR CpJer
INSPEM'R DMWN BY S