HomeMy WebLinkAboutDrain Layers Permit 080 Carriage Drive TOWN OF SOUTH W1 N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT 2654
Pursuant to written applicatii�o,r, permission is hereby ranted to the Licensed Drain Layer named herein to perform
the work indicated below at d(J on the
- side, betwee
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 (, j, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
r
{
Permit to be issued to
the holder ofDrain Layer's License No. Permit will expire on 19
The undersigned Drainlayer 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
Connection rge Paid /y Licensed Drain Layer
Issued by
1 ax Collector
Permit Nee: Paid $ Z
INSPECTION: Check Number: 6 L�
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR