HomeMy WebLinkAboutDrain Layers Permit 221 Benedict Drive 29-D/
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT 'N? 380
' 19T ��
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at221 B404d 4t V*-(1" on the
side, between R.wy s " m s *�,, *
;vy�wrs� w�wa�w v�cr
at premises owned by JW—M a* fts"
whose address is �
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for z*gd 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 T Jt
the holder of Drain Layer's License No. kt9m�� Permit will expire on 19
o al The undersigned Drain Layer hereby agrees tl 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 D=U tv to p0q, -u—sh --d-]3eakfIll-Septic tank
Signed
Connection Charge Paid , ♦ Licensed Drain Layer
—iI" „ 1 ;.:+. (Sig) Issued by NOW13 V*Xd4v Jr.
TC ax ollector
Permit Fee: Paid $.IOW
INSPECTION: 010* $ ; 40A
INITIAL 7 (Sig)
FINAL '� $ y (Sig)
APPROVED 3 y (Date)
(Sig)
INSPEC