HomeMy WebLinkAboutDrain Layers Permit 75 Garnet Lane TOWN OF .SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT `NO 319
_,
Ik� 19 n6
Pursuant to written ap Iicatior, permi 'on is�/hereby
f granted to the Licensed Drain Layer named herein'to perform
the work indicated below at Q(A r, Gi S I
on the
side, b ;tween }
at premises owned b, QS
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 I9
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side
thereof. Applicant has feceived Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Q Q Al U Si ned
h g
Connection Charge Paid U , 0 Licensed Drain Layer
Issued by
x Collec r
Permit Fee: Paid $
--INSPECTION:___. _ ---Check-Number: 9
T _- INITIAL (Sig)
- ---- -- FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR