HomeMy WebLinkAboutDrain Layers Permit 560 Governors Highwa (2) TO
WN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
a South Winds
f .l or Connecticut
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1 n
DRAIN LAYER'S PERMIT N� 485
g
19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
i�
— side, between aft K �
at premises owned by
whose address is_
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for A
occupancy or use,
with 01 family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE e 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 VANOW 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 �u"'r�° . G�Gt.ff , ,vo ,�i9�err7Y4 J+,WI'e /ors4
Signed �4�
Connection Charge Paid i nsed Drain Layer
Tag Collector (Sig) Issued by
Permit Fe Paid $
INSPECTION:
i ,
INITIAL Y4 J r P/.T"A,-? P0 (Sig)
FINAL (Sig)
APPROVED oe (Date)
Coll (Sig)
INSP CTOR