HomeMy WebLinkAboutDrain Layers Permit 1S St Marc Circle TOWN 'OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO 3382
lij azt / 19 U `1
Pursuant to written ap 1'catior, permission ishereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at /— J on the
side. beAween
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other ,
for occupancy or use,
with Family Units, with acres.
3 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 undersignedsDrain'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.
fpr street excavation.
SPECIAL CONDITIONS
Signed
onnection Charge Paid. 60,6 0_ Licensed Drain Layer
issued y
T Collec r
Permit Fee: Paid $
INSPECTION: --(Beck Dumber:
INITIAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR