HomeMy WebLinkAboutDrain Layers Permit 005 Bayberry Trail TOWN 'OF 66TH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL-
B/P No.:
South Windsor, Connecticut "�t17
List.No.: _
DRAIN LAYER'S PERMIT
O 900
7/20M 119
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at talk on the
side, between
at premises owned by_ 8
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
�I7
for occupancy or use,
with 0e Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with SIX L'491t 12AUfte
Permit to be issued to jo 0e PR0
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 1**Mk 40 gKift
Tax Collector
Permit Fee:. Paid $ 1500
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED -, (Date)
(Sig)
INSPECTOR