HomeMy WebLinkAboutDrain Layers Permit 39 Benedict Drive TOWN OF SOUTH WI N DSOK..
DFPARTMKNT OF PO.4.LUTION CONTROL `
t ' r B/P No.:
v South Windsor, Connecticut
List No.:
DRAIN LAYER S P'ERMIT;
f ° 650 ;
xy ',19
s j ` Pursuant to written applicatior, permission is hereby'granted to the Licensed Drain Layer named herein°to perform _
t
the work indicated,below at on the
side, between
at premises owned by X�ftm" J'w
whose,address is
and to <�Lay House.Drain, Repair House Drain, Lay Main, Other`.
for p� s ocenpaney '.
chi Family.Units, with` acres
3 Ty efof Sgwage toe connected under•'this permit:
S t RY SEWAbE ( j, INDUSTRIAL:. WASTES .( ), OR`'( ) 4�
F �,+
Gaon`; �I be made with
i i .. ..
:r
Perniii tq.be- issued to z
rile"holder"of Dt in Layei s Lice[fsi,'No. " hermit will'expire on
The undersigned Drain Layer.Hereby-agrees;to all the, terms and condition�s'sgt;fotth 'on the pe m t and the t grse side�-
thereof: Appli,cant has rec ived;Town-Permit No and/or C HD Permit No.
for street excavation t. r
SPECIAL. CONDITIONS
Connection Charge:Paid-. + ' 4 "'' ensed Drain Lave
3
,
I§sued'by e r
Tag CQllectQ .
t ; Permif Fee: Paid
,.
�. TNSPECTIQN: _ Check Number. ,4.
141TUL Sig!1 ( ) -
FINAL ! c (Sig)
i
_ -APPROVED i? (Date) N. '
(Sig)