HomeMy WebLinkAboutDrain Layers Permit 806 Misty Meadow Lan TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT 0 3252
19
Pursuant to written ap licatior, permission is reby granted to the Lic used Drain Layer named herein to perform
the work indicated below at K� ...12L.on the
side, tween v
at premises owned S(�
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 Licensed Drain Layer
A-k-kJ ^ "' Issued by
x,Collector_
Q�Y J�C�t Permit Fee: Paid $ y
INSPECTION: Check Number: d U
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR