HomeMy WebLinkAboutDrain Layers Permit 202 Spring Meadow Dr TOWN OF SOUTH W1 N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor,Connecticut
List No.: _
DRAIN LAYER'S PERMIT X? 2975
I9 .3
Pursuant to written applicatio, pe miss"ion is herb granted to=he _icensed Drain Layer named herein to perform
the work indicated below ato on the
side, etween
at premises owned by
whose address is
and to Lay House Drain, Repaic 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 ( j, 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
±D3�(! Q Signed
Lonnection Charge Paid 4-o D 9- b 0 3 Licensed Drain Layer
Issued by
A) T# Collector
Permit Fee:. Paid $ C)
INSPECTION: Check Number: J�i
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR