HomeMy WebLinkAboutDrain Layers Permit 65 Dower Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor,Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT N? 3009
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at _
' on the
side, between,
at premises owned by ?"-Y a .
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 ( ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with
f .
Permit to be issued to
the holder of Drain Layer's License No.
Y Permit will expire on 19
Nq The undersigned Drain Layer hereby agrees to all the,terms and conditions set forth on the permit an i!the reverse side
f�hereof. Applicant has received Town Permit No. and/or C H D Permit No.
{ street excavation.
SPECIAL CONDITIONS
r
you
Signed
Connection Charge Pa .{/��j. Q y `Licensed Drai 'La 'r•
Issued by
" Y Tax Collector /
Permit Feet. Paid$ - z ,
INSPECTION: Check Namber: �
INITIAL
\ (Sig)
FINAL (Sig)
\ APPROVED (Date)
\' (Sig)
\ INSPECTOR