HomeMy WebLinkAboutDrain Layers Permit 903 Misty Meadow Lan TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No::
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMITS 3331
0 19
Pursuant to written ap icatior, perrm)ission is he eby granted to the License rain Layer named herein to perform
the work indicated bglow a on the
side, between
at premises owned by
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"
-t?583
Signed
*nnec,,,ion,, r a Paid Licensed Drain Layer
? �U Issued by
to 0a sly Permit Fee: Paid $ _L1
Check Number:
INSPECTION: L.�.
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)'
INSPECTOR