HomeMy WebLinkAboutDrain Layers Permit 29 Farmstead Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO 2889
i/-z-v , 19e3
Pursuant to written applicaattiyor, permission is hereby graieed to the Licensed Drain Layer named.herein to perform
the work indicated below at on the
side,.;bet een
at premises owned by_, Awzll�l !e
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
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
Signed
Connection arge Paid �U�J G Z�i �� Licensed Drain Layer
Issued by
Tag Collector
Permit Fee: Paid $ �-6 7 t�
INSPECTION: Check Number: -
- - -INITIAL (Sig)
FINAL (Sig)
APPROVED�_`._.�_._. —— --
v-(Date)
INSPECTOR (Sig)
is