HomeMy WebLinkAboutDrain Layers Permit 49 Edgewood Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.:
't South Windsor, Connecticut
List.No.: _ . .
DRAIN LAYER'S PERMIT N° 2038
C
`- - 19 r
Pursuant to written applicatior�,gpermission is hereby granted to the yLicensed Drain Layer named herein to"perform
the work indicated below at on the
;tii•/ side, between.!� l - / q
at premises jowned bye,V D)
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 beecc nnected under this permit:
SANITARY SEWAGE (,//`, INDUS,TRIAL WASTES (.. ; OR ( )
Connection.will be made with
Permit w4h issued to
the holder of Dfain;Layer's License No. Permit will expire on 19
The undersigne iq
Jprain,Layer hereby agrees to �11 the terms'a.nd 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._
SPECIA'L;CONDITIONS
Signed
Connection Chatge',Paid )-W j"' Licensed Drain Layer
Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: ,f �J `1
stj A
INITIAL (Sig)
'FINAL (Sig)
APPROVED (Date)
t (Sig)
INSPECTOR