HomeMy WebLinkAboutdrain layer permit 355 Diane Drive -�- �- TOWN OF` SOt1 H, ..WLN DSOR
�.,1< �# pP DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT 95
N* 245
�!►' S4
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ,. t.> Ety1;' on the
issieh, of eix'clo, /P side, between
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for s ' occupancy or use,
with j 171 Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with r':`� `. 2r
Permit to be issued to f•�+§:e �;'"°t'�p�
the holder of Drain Layer's License No. Permit will expire on 4%. t 1: 19
%T
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 'mix LAYO7r r cZnWh :Md ackfx11 septlz
Signed
Connection Charge Paid Licensed Drain Layer y
n. (Sig) issued by
Tax Collector
Permit Fee: Paid $ F,
INSPECTION
INITIAL (Sig)
FINAL (Sig)
APPROVED June 73 i (Date)
MBilVI reA - . (Sig)
INSPECTOR
N
_o
q
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION J.SS 01'a N eo U i ✓:E
OWNER
TYPE OF WORK lee-jer C.o lAle ,'a
DATE PERMIT PIPE P1as 'L
INSTALLER
INSPECTOR DRAWN BY