HomeMy WebLinkAboutDrain Layers Permit 66 Deepwood Drive (2) . TOWN, ,OF., SOUTH WINDSOR
4 DEPARTMENT, OF :POLLUTION. CONTROL' Bhp No.:
South Windsor; Connecticut
r F' List.No.: _
DRAIN LAYER':S RERM1fi
X? 752"
#' 19
Pursuant to written applicatior, permission is hereby,'granted to the Licensed Drain Layei-namedt-herein to perfo' '
the work indicated below at on the '
side, be'tWeen ,
at premises owned by
whose.address is
And to Lay House grain, Repair House Dram, Lay Main, Other ,
<<.
for occupney t use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES Plast _( , OR ( )
Connection will be made with`
Permit to be issued to
r,
the holder of Drain Layer's License No: Permit will expire on' 19
The undersigned Drain Layer hereliy agrees to.all t"e seems 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.
SPI;CI$L<_CONDITIONS. .
Y
J:.
` Signed % � •
�'. Connection Charge Paid ' . Liceis_pd`Drain
Issued by
Tax Collector y,
u -Perdu _liee-. Paid $ --
,'
INSPECTION: Check Number: ,
INITIAL (Sap)
Z FINAL (Sig)
f
APPROVED _ (Date)
w^
�. (Sig)
INSPECTOR