HomeMy WebLinkAboutDrain Layers Permit 385 Foster Road TOV OF SOUTH Wi N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT 0
�5 N. 2952
19
Puts to written a licatior, permission is hereby ranted to the Licensed Drain Layer named herein to perform
the work ind ed below ac
on the
side, between
at premises owned by
whose addr is
and to ay House Drain, Repair House Drain, Lay-Main, Other
for '
occupancy or use,
with Family Units, with
acres.
T of Sewage to beecc nnected under this permit:
SANITA SEWAGE (t/`. INDUSTRIAL WASTES ( ) OR ( )
Connect' will be made with- (/�
I
ermit to be issued to
the hol r of Drain Layer's License No. J^� ermit will expire on 19
The u ersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side
thereo Applicant has received Town Permit No. and/or C H D Permit No.
for st et excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid VLicensed Drain'Layer
-
Permit Fee:. Paid $ Zf
- (Sig)
FINAL
- APPROVED - - (Date)
-- - (Sig)
INSPECTOR _