HomeMy WebLinkAboutDrain Layers Permit 235 Benedict Drive .,�^ ., :sue.:- .Y,4i�' `t"y." ;P.: p,•y�.l.�...; *�,,�5',t.
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT
O 329
Pursuant to written ap licatior, rmission is hereby g ted to the Licensed Drain Layer named herein to perform
the work indicated below at 3J (.� on the
side, ween
15
at premises owned by
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 H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
nnection Charge Paid Q ���� Licensed Drain Layer
Issued by
Colleckor
Permit Fqe: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR