HomeMy WebLinkAboutDrain Layers Permit 23 Alpine Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT _ 0 2943
JA 19 0 .J
Pursuant to written a licatior, a iss ion iq here granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side tween
at premises owned by /) �" �/}
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,re,verse side T '
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
ii
Signed -
C nnection Charge Paid (�. _, Q _ j Licensed Drain Layer
Issued by
�T x Collector
Permit Fee: Paid /$
INSPECTION: Check Number: ,/��✓
INITIAL (Sig)
FINAL �
APPROVED (Date) :_
J INSPECTOR (Sig)-