HomeMy WebLinkAboutDrain Layers Permit 3I St Marc Circle -
TOWN :OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT d 3322
' 19
xr
. Pursuant to written ap licatior permission is hereby granted to the Licensed Drain Layer named herein to perform
t' rk indicated below at on the
t �
side be een
at premises owned by C ,
s
an use Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with `''' '''*'` Family Units, with acres.
Type °• connected under this permit:
SANITARY SE USTRIAL WASTES .( ), OR
Connection will be y
Permit to be issued to"
the holder of Drain Layer's Lice Permit will expire on 19
The undersigned Drain Layer here b s } ie terms and conditions set forth on the permit and the reverse side
t
thereof. Applicant has received Town and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
onnection Charge Paid6JVILI Licensed Drain Layer
ssued- y
- A J x Cmllec q{ �
✓1/v / Permit Fee: Paid $ 0
/�_���_ -_
INSPECTION: � � Check Number: -
INITIAL (Sig)
FINAL
APPROVED (Date)
(Sig)
INSPECTOR