HomeMy WebLinkAboutDrain Layers Permit 49 Birch Hill Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.: �1
List No.: _ (D
DRAIN LAYER'S PERMIT Np 2080
19
Pursuant to written applicatior, p mission is h. reby,g7-7
ted to the Licensed Drain Layer named herein to perform
the work indicatedbelow aton the
side, bet en
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
r
Permit to be issued to
k�
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.
4
for street excavation.
SPECIAL CONDITIONS
�VU^ 7-
Signed :E
Connection C e Paid Licensed Drain Layer
Issued by
Tax,Collector
Permit Fee: Paid
INSPECTION: Check Number: ��
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
`\ (Sig)
INSPECTOR
,