HomeMy WebLinkAboutDrain Layers Permit 105 Spring Meadow Dr TOWN OF SOUTH WI NDSOR
DEPARTMENT OF POLLUTION CONAOL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN .LAYER'S PERMIT N? 3007
19 -�
Pursuant to written applicatior, permission is hereby granted to,the Licensed Drain L yer named herein to perform
the work indicated below at /0 5 on the
side, betwe S
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
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
Connectio arge Paid Licensed Drain Layer
Issued by
Tax C-
o llecto
Permit Fee: Paid $�!✓_._
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)