HomeMy WebLinkAboutDrain Layers Permit 27 Dawn Drive TOWN -OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut 2
List.No.:
DRAIN LAYER"S PERMIT NO 2045
C.r.,>I
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at �D �,�/0(7 �aW r► �r t
on the
side, between ,/� '7-
at premises owned by -� /�raS L1�G
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, t_Other
for P " occupancy or use,
with Family Units, with acres.
Type of Sewage Ito bennected under this permit:
SANITARY SEWAGE ( )�" , INDUSTRIAL WASTES ( ) lt ( )
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 Paid �d•0 d Lice ed in yet
Issued by
Tax Collector
Permit Fee: Paid $ _
INSPECTION: Check Number:
JVj
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSP CTOR
F9