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HomeMy WebLinkAboutdrain layer permit 306 Strong Road TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROLIL 6...d South Windsor Connecticut to/ DRAIN LAYER'S PERMIT NO 66 , 19 70 Pursuant.to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at_sD 4 on:the side, between Almrmft ham at premises owned by_ * -raa/R'l.W whose address is JkD& ST026-6 gam& and to _Lay House Drain, Repair House Drain, Lay Main, Other for occupancy or use, with Family Units, with App'Apr, ► V acres. Type of Sewage to be connected under this permit: Q_A_NIT~ARY SEWS A: IND�UjSTRIALAAWASTES, OR Connection will be made with SIX •1�0 16 N, V1 100 !t .Permit to be issued to 149AW wI*V14*V 91 the holder of Drain Layer's License No. W9• of:48/a Permit will expire on /a14a+QatT 19 -70. 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 Signed A721 Connection Charge Paid $ 4106.,040 Licensed Drain Layer SEE ATTAC Mab (Sig) Issued by eL 4F,1*W,+tos, r,,, Tax Collector Permit Fee: Paid INSPECTION: 0044M NKA. INITIALrL U` __ (Sig) FINAL �.�� (Sig) APPROVED o 7/ (Date) 2-Z ?_t�_ (Sig) INSPECTOR