HomeMy WebLinkAboutDrain Layers Permit 328 Felt Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.: -
South Windsor, Connecticut
List No.: _
, g 1 DRAIN LAYERS PERMIT p
�}�� '
� 0 11T. 531
Mare, 2 , 19 74
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at toot `` t =•
on the
weat side, between `` t' S Tw .a 06, ,
r-
at premises owned by ==•
whose address is 99 �7exter St Haack-pater
X
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 .f
Permit to be issued to
the holder of Drain Layers License No. Permit will expire on Naj 11
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 r ; Licensed Drain Layer
Issued by � # �'~; `����"�'� ��"•
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR