HomeMy WebLinkAboutDrain Layers Permit 088 Ash Road +q TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.: _
Sputh Windsor, Connecticut
List.No.:
r, }` DRAIN LA..YER'S PERM;IT 688
..w,,. _.. "19
Pursuant to written applicatior, permission is hereby granted to the.Licensed Drain Layer named herein to.perform
the work indicated below•at -. on the
idg,
- at premises owned
whose address is
and to L 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-toy
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 Licensed Drain Layer
' Issued by
Tax Collector
Ii
Permit Fee:. Paid .2
t
INSPECTION: Check Number:
INITIAL LOAd (Sig)
FINAL /3�1.: t-� 1-7 - (Sig)
APPROVED Iikt.}ar?'WE (Date)
(Sig) .
INSPEi TOR g