HomeMy WebLinkAboutDrain Layers Permit 195 Wood Pond Road �R"'1�'�.. S--t�:- �,t 'r' xar '�r:w. .�' - . . S�' „-`-?ti :,"`•. -'. ,t,�...��` _ �,k �. �} ,.
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT O 3226
/ a J
, 19_t
Pursuant to written appliicatioor, permission is hereby
jranted to the Licensed Drain Layer named herein to pei
the work indicated below at L d "I 7 (N !� �►�� on
side, between
at premises owned by /1d-0eWl A,
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for occupancy or use, "1
with Family Units, with acres.
Type of Sewage to be connected under this permit:
L 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
c
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
v d J I Signed <{
C nnection Charge Paid Q Q, Licensed Drain Layer
r
Permit Fee: Paid $
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., INSFECTION�`-- CheckNti'mb'er:— --
INITIAL (Sig) �.
FINAL (Sig)
APPROVED (Date)
_ - - (Sig)
m INSPECTOR