HomeMy WebLinkAboutDrain Layers Permit 29 Apple Tree Lane (2) S _
TOWN OF SOUTH WI N DSOR
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DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut 260207
�
ry DRAIN LAYER'S PERMIT No 284
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Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 2 �L z, AG: r"! r- 4`a. C Lar t(, on the
side, f =. fj/� /f
at premises owned by L
whose address is
and to tryf Lay House Drain, Repair House Drain, Lay Main, Other ,
for C't occupancy or use,
with Family Units, with acres.
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(SANITARY
Type of Sewage to be connected under this permit: ��
SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with '' f %` J
Permit to be issued to—
the holder of Drain Layer's License No. Permit will expire on `! 5
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation. _
SPECIAL CONDITIONS LJ .., =f-i i t;. -d ; . t�`= S G �-i
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Signed
Connection Charge Paid,.$ it j,' j` Licensed Drain Layer
(Sig) Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION:
--- - -- - -------INITIAL----- - - - - -- ----- - - - -- - (Sig) -- - - ----- ----
FINALJr , ti% (Sig)
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APPROVED C/2 / F-
(Date)
(Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION *29 r
OWNER
TYPE OF WORK
DATE 6 .2 PERMIT PIPE
- -- INS
INSPECTOR DRAWN BY