HomeMy WebLinkAboutDrain Layers Permit 64 Birch Hill Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT NO 1945
/ o , 19 7�
Pursuant to written applicatiorr, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at (, / f�!([ All —Pr on the
side, between
at premises owned
C�
whose address is
and to Lay House Drain, Repair.House Drain, Lay Main, OEher
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 U
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
l' Signed-'
Connection Charge Paid y 00 l) C Li se d Drain aye
Issued by r
Tax Collector �oZ I� / ,
<<
Permit Fee:. Paid $ /5-
INSPECTION: Check Number: 7f W-W
INITIAL (Sig)
FINAL (Sig)
APPROVED Z 2. (Date)
(Sig)
INSPECTOR