HomeMy WebLinkAboutDrain Layers Permit 35 Breezy Hill Drive "6,.. - :� ate, ..�.--,�,�r..a.,t,,.•�...�,;
TOWN . OF SOUTH WIN DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.. _.� f (9
DRAIN LAYER'S PERMIT
O 2_055
Y � , 19
Pursuant to written applicatior, permission is hereby granted to the Licenso Drain Layer named herein to"perform
the work indicated below at S` /0", re'_-` on the
side, between
at premises-owned by ��� ?
whose address is
and to Lay House Drain", Repair House Drain, Lay Main, her
for �'t:��.� .• ,
o�cupancq 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 L1
Permit to be issued to
the holder of Drain.Layet's License No. Permit will expire on l9
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on t,e 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 GG, �f Licensed Drain Layer
Ta ollector
y
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL
(Sig)
FINAL (Sig)
APPROVED (Date)
0,6 i
- -- -- -- - - - INS CTO