HomeMy WebLinkAboutDrain Layers Permit 88 Deepwood Drive TOWN OF SOUTH W[NDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT N? 2329
Pursuant to written applicatior, permission is he eby granted to the Licensed Drain Layer named herein to perform
1L ' 1 �)G{
the work indicated below at ,la a / ;
� on the
side, between
at premises owned by y
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
i
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
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Signed
Connection Charge Paid Licensed Drain Layer
Issued by
-,Tax 'C;ol�lectpr
Permit Fee:. Paid $ _���•�_
INSPECTION: Check Number: - yyZ
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR
(Sig)
1
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NOTES SOUTH WINDSOR POLLUTION CO-WROL
LOCATION
OWNER
TYPE OF WORK 5 cwfl w �n
DATE S _a r PERMIT PIPE c
INSTALLER
INSPECTOR ` .- DRAWN BY `