HomeMy WebLinkAboutDrain Layers Permit 252 Fairview Drive (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.: \ i
South Windsor, Connecticut
List No.:
DRAIN LAYER'.S PERMIT N? 2666
19
Pursuant to written appl'catior, permission is hereby gr ted to the Licensed Drain Layern/a`med herein Ito perf
1
the work indicated below at ,��
on t
side,-between
at premises owned by
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 SEAGB _INDUSTRIAL WASTES
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
/a /d-d�p-_
Signed
Connection Charge Paid Licensed Drain-Layer
n Issued by
i►J✓{J, D� Tax Collector
Permit Fee:. Paid $ _ 4�
INSPECTION: Check Number:
-- — —INITIAL
\ (Sig)
FINAL (Sig)
(Date)
(Sig)
INSPECTOR