HomeMy WebLinkAboutDrain Layers Permit 073 Andreis Trail TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT O 3225
Pursuant to written appllicatior, permission/ins hereby granted to the Licensed Drain La er named herein to perform ,
the work indicated below at_ L 4 ( T/L��n / � ��(,, A A 1 on the
side, between
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 ( ), 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
Charge Paid 6 v• 6 ZS Licensed Drain Layer
Issued by
'onnection,
Colectgt)
Permit Fee: Paid $ _! b
INSPECTION: Check Number: �6
INITIAL
FINAL S^�i�'
I
APPROVED "(Dlit.NED
(Sig)
INSPECTOR