HomeMy WebLinkAboutDrain Layers Permit 069 Ash Road lam,
TOWN -OF SOUTH WI NDSOR
DEPARTMENT OF POLLUTION 'CONTROL
South Windsor, Connecticut B/P No.
List No.: S—66
DRAIN LAYER'S PERMIT
O 729
,
19
Pursuant to written applicatior,permission is hereby granted-to the. Licensed Drain Layer named herein to perform
the work indicates)below at
on the
side, between r
at premises owned by C"210 U
whose addres's
and to X Lay House Drain, Repair.House Drain; Lay Main, Other
for ��3d�ati�l
occupancy or use,,
with Family Units, with
acres_.
Type of Sewage to be,connected under this permit:
SANITARY SEWAGE (It'), INDUSTRIAL WASTES -.(
Connection will be made with $U Inc pl+"ti0 ftpo
Permit to be issued to
the holder of Dram'.Layer's-L'icense Mb Permit will expire on 19
The undersigned DfAn' Layer hereby agtees to.all the terms,and conditions set foal on the,permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street eseavation.
SPECIAL CONDITIONS
Signed -
Connection Charge Paid Licensed Drain Layer.
Issued by F*Mk Jo &Jth
Tag Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL
(Sig).
FINAL (Sig)
APPROVED L1I (Date)
(Sig)
INSPECTOR