HomeMy WebLinkAboutDrain Layers Permit 1000 Misty Meadow La TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.: _
South Windsor, Connecticut
List No.: _
DRAIN LAYER"S PERMIT NO 3371
19
Pursuant to written ap catior permission is reby granted to the Licensed Drain Lay r named herein to perform
the work indicated below at Im on the
side, be wean
at premises owned byr
DtLj
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
� 1ta 0.avJO
T 7 Signed
Connection Char a Paid Licensed Drain Layer
V1
Oo
` `ib `'�Ax—i Issued by
a
Permit Fee: Paid $ '
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR