HomeMy WebLinkAboutDrain Layers Permit 500 Felt Road . � 5 TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B�P-No::
South Windsor, Connecticut � .
List No.: _
DRAIN LAYER'S PERMIT Np 858
F ) 19-
Pursuant to written app icatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Fat Rud (14t 17) on the
t side,
at premises owned by XC T MI Hdary J. & lean A.
whose address is_
and to _XLay House Drain, Repair House Drain, Lay-Main, Other ,
for eIrss occupancy or use,
with * 0 Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES _( ), OR ( )
Connection will be made with xmisch ( ) .e, W a later 10110WR as S 34 s . at a
of 6 .
Permit to be issued to Ado-A wi ay*i
the holder of Drain Layer's License No. Permit will expire on 30 J1d 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 Charge Paid 04 75 Licensed Dra t
ft"Wt me, ` .Issued by IN14via F4wanle, Jra
Tax Collector
ermoo ftUuU= 0=PUUt1 0345 Permit Fee:. Paid $ __ ��►
INSPECTION: Check Number: _
INITIAL a 1 (Sig)
-77
FINAL .<tJ 0 (Sig)
APPROVED (Date)
(Sig)
INg'PtUIZIr