HomeMy WebLinkAboutDrain Layers Permit 34 Benedict Drive (2) TOWN OF SOUT WINDSOR
A 'DEPARTMENT OP-,=PO4UT10N CONTROL
South Windsor,4onnecticut
DRAIN LAYER'I'S PERMIT V10 248
�4
19
Pursuant.to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ors< P, on the
n...
side, between
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),' � �.__: INDUS'�RIAL WASTES., OR ;,,�a
Connection will be made with
Permit to be issued to _
the holder of Drain Layer's License No. Permit will expire on u. �-` 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 :' fr 1F$`,". it,
Signed r, - 150fr r e
Connection Charge Paid$ .r r Licensed Dram Layer .
4 (Sig) Issued by t,
Tax Collector
Permit Fee: Paid S
INSPECTION. . ;... Ali
INITIAL (Sig)
FINAL _. (Sig)
APPROVED (Date)
(Sigh
INSPECTOR