HomeMy WebLinkAboutDrain Layers Permit 28 Dart Hill Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT N0 2598
' 191
Pursuant to written applicati
lor, per 'ssion is hereby jzr#nted to a icensed Drain Layer named herein to perform
the work indicated below a 1 t //Gt q / � on the
side, betwee
at premises owned by
whose address is I
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
_ Signea
Connection arge Paid �� 7 �L. Licensed Drain Layer
a
Issued by
'Tax Collector
f --�Permit Fee:. Paid
INSPECTION: Check Number: -z' 2—
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR