HomeMy WebLinkAboutDrain Layers Permit 25 Alison Drive TOWN OF SOUTH Wt DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT N0 2520
19 i�v--
Pursuant to written applicatior, permission is
hereby granted to the Licensed Drain Layer named herein to perf
the work indicated below at orm
' ���tG{J-Q
on the
side, between
at premises owned
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for occupancy or use,
with Family-Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( j, INDUSTRIAL WASTES _( ), OR
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 19
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
Connection Charge-Paid �,1)6.6D Licensed Drain Layer
Issued by
Tag Collector
Permit Fee:. Paid $ /,��A-
INSPECTION: Check Number: 3�—
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig) IVIED