HomeMy WebLinkAboutDrain Layers Permit 800 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 O 3386
&-I L( , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Dr in Layer named herein to perform
the work indicated below at . I d U on the
side, between
at premises owned by Gy 0
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 ( 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
&)� ��J9 Signed
Connection Charge Paid w, 6 D Licensed Drain Layer
_ Issued by
-T Collec r ,
Permit Fee:. Paid $
INSPECTION: Check Number: 7
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR