HomeMy WebLinkAboutDrain Layers Permit 610 Spring Meadow Dr �..-
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.: _
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT 3387
0 - f v , 19 SLI
Pursuant to written ap catior, perm'ss-ion is he eby granted to the icensed�Dra�in- Lrayer med herein to perform
the work indicated below at Al
on the
side, between
at premises owned by (1213� _ SU L[
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 aBd conditiaas 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
O�Y 147 ��ji Signed
nnection Charge Paid y 4 0 - d Licensed Drain Layer
Issued by
x Collec r
Permit Fee:. Paid $ __,_._._
INSPECTION: Check Number: -/ 0-7
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR