HomeMy WebLinkAboutDrain Layers Permit 6 Birch Hill Drive (2) TOWN OF , QUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N0 446
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at K916 on the
side, between t*lt ju
at premises owned by 16 hNOU
whose address is
and to x Lay House Drain, Repair House Drain, Lay Main, Other ,
for occupancy or use,
with Oii10 Family Units, with acres.
Type of Sewage to be connected under this permit:
t SANITARY SEWAGI, INDUSTRIAL WASTES, OR
Connection will be made with
Permit to be issued to?pnk conk
the holder of Drain Layer's License Nol!!W34 Permit will expire on D"s_,(� 1
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 Aluft 300A to Ims Ono and b"Myn h ti3O �-••tr
Signed
Connection Charge PaiA%" Licensed Drain Layer
(Sig) Issued bye& A/ Sta3ftWeabor .Tr.e
Tax Collector
Permit Fee: Paid $15e00
INSPECTION: Chu* f
INITIAL f - % r (Sig)
FINAL (Sig)
APPROVED/ ; (Date)
(Sig)
INSPECTOR r"