HomeMy WebLinkAboutDrain Layers Permit 708 Misty Meadow Lan TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.: _ -
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT N0 3077
, 19
Pursuant to written a pI' tior, permispsion 's hereby ranted to the Licensed Drain Layer named herein to perform
the work indicated below at D O on the a
side, be weep
at premises owned by it) S 6
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
onnection Charge Paid D -� y �� Licensed Drain Layer
' U�-�... Issued by
a*Colec Co �„ �
/"LC�YJ�'(, Permit Nee:. Paid $ F•'v
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR