HomeMy WebLinkAboutDrain Layers Permit 42 Birch Hill Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut �C ��Z
List No.: _
DRAIN LAYER'S PERMIT NO 1382
r�
Pursuant to written applicatior, permissi is ereby granted to the Licensed rain Layer named herein to perform
the work indicated below at 2- '
on the
side, betwe
at premises owned by
whose addres 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 bb onnected under this permit-.
SANITARY SEWAGE V INDUSTRIAL , 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 - �"^�
Connection Charge Paid-itp Licensed Drain Layer
La
Y
Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check.Number: ,
INITIAL (Sig)
FINAL (Sig)
APPROVED 7 (Date)
/*, (Sig)
\
INSPOtTOR
27714
i
r
'. �
I ' � � i
I � i
�, �
'� ''. � �,
I � i ''
�., �. L.
� �
� i � � '
i �.
' i i ' '.
�, �. '�,
i ,
',
� d � � I I
i
i
,� � .�
o
� � � � �
i � � � � �',
'� � � '�
' ! j i i 1
�� I
i
i
� ', '