HomeMy WebLinkAboutDrain Layers Permit 170 Garnet Lane ':� "...
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT �1T� 3324 .
o 19
Pursuant to written ap licatior, perms n is hereby ranted a icen ed Drain Layer named herein to perform
the work indicated below at dl,�,X��/�l'�1E� �' on the
side, beltween
at premises owned
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
jonnection Charge Paid �U� /" Licensed Drain Layer
ssue y
x C0`ect
Permit Nee:. Paid $ _
INSPECTION: Check-Number.
INITIAL (Sig)
_ FINAL (Si )
APPROVED (Date)
INSPECTOR (Sig)