HomeMy WebLinkAboutDrain Layers Permit 19 Deepwood Drive (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor;Connecticut
List.No.: =6.6ra 4�—
DRAIN LAYER'S PERMIT
p 732
'1't/1�t/'TI► , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 19 A on the
side, beween
at premises owned by `
whose address is
and to _Lay House Drain, Repair House Drain, LayMain, Other .
for occupancy or use,
with 60 Family Units, with acres.
Type,of,Sewage to be connected under this permit:
SANITARY SEWAGE (2), INDUSTRIAL WASTES .( ),'OR ( ' )
Connection will be made v .>I�uti� Pile►
Permit to be issued to-.` A*
the holder of DrairCLaye?s License No: �" Permit will expire on 1 /1 ►. 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 ,f ti ;
Connection Charge Paid � j .Licensed._ rain Lay
Issued by .
Tax Collector
Permit Fee Paid
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
-INSPECTOR