HomeMy WebLinkAboutDrain Layers Permit 07 Apple Tree Lane TOWN OF 4OUfH* WINDS01t,.DEPARTMENT OF._ POLLUTION CONTROL
South Windsor,.Connecticut
DRAIN LAYER'S PERMIT p 478
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 7
side, between =_d on the
at premises owned by
. whose address is AIM
and to __Z_L,ay House Drain, Repair House Drain,
� Lay Main, Other
for
K with _E!1
occupancy or use,
Family Units, with
acres.
Type of Sewage to be connected under this permit:
CANITARY SEWAGE, INDUSTRIAL WASTES OR
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. Permit wr
The undersigned Drain Layer hereby agrees to all the terms and conditions s tl forth on the petitn .t
ahe reverse siexpire on le
thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No..
SPECIAL CONDITIONS 2111MA 2nomllf' a&
Connection Charge Paid $ Signed_
Licensed Drain Layer
* No Nokia Tax Collector (Sig) Issued by j
Permit Fee: Paid $
INSPECTION:
INITIAL ('-)C�_ �7 1%7 �1"?o (Sig)
FINAL /� �� ; ,« (Sig) SCANNED
APPROVED % / " (Date)
INSPECTOR (Sig)