HomeMy WebLinkAboutDrain Layers Permit Bayberry Trail - mai TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
+ South Windsor, Connecticut
List.No.: _ ' • Q���
DRAIN LAYER'S PERMIT ND 1325
19
Pursuant to written applicatior per 'ssion is ereby gra to t th Licensed D a' Laye�med he ein to"perform
the rk ndi �ted halo t , /7 /�e on the
� �-lf , side etween
at premises owned y
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 D Permit No.
for street excavation.
SPECIAL CONDITIONS
A
U r Ir2 -
!`. .J
Signed
Connection Charge Paid Licensed Drain r-,
Issued by
Tax Collector t�
Permit Fee: Paid $
d N N E D INSPECTION: Check Number:
INITIAL�i (Sig)
FINAL (Sig)
APPROVED + n (Date)
/Ac0 Lrrti-F7' ,f
(Sig)
INSPECTOR