HomeMy WebLinkAboutDrain Layers Permit 98 Country View Driv TOWN Of SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO 2822
j
1
Pursuant to written aPPlicatior permissionGhereby granted to th d_Drain Layer named herein to erformecense
the work indicated below at 1 l u U D 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 ( 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
Signed
Connection Charge �e3 Licensed Drain Layer
ttt Issued by
ax Cnllegfpr/�
Permit Fee: Paid// � r$ � � U_
INSPECTION: Check Number: i - /L
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR