HomeMy WebLinkAboutDrain Layers Permit 117 Fairview Drive/T TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No..
DRAIN LAYER'S PERMIT Np 2998
i Pursuant to written ap licatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
t the work indicated below at )
{ on the
side, between
at premises owned
whose address is
and to Lay House Drain, Repair House Drain, LaMain,
y Other
for ,
occupancy or use,
with Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE { h INDUSTRIAL WASTES .( ), OR { j
Connection will be made with
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
8 196 oF3
Signed
Connection Chaige Paid. J-L 1�2 3 4 Licensed Drain Layer
Issued by
x Collector n
Permit Fee: Paid $
INSPECTION: Check Number: Y
INITIAL
FINAL
(Sig)
APPROVED (Date.)
INSPECTOR (Sig)