HomeMy WebLinkAboutDrain Layers Permit 4Q St Marc Circle TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER',S PERMIT N? 3320
19�
Pursuant to written a licatior, per fission is hereby granted to the se Licend Drain Layer named herein to perform
the work indicated below at �`` on the
ss side, Wt een
at premises owned b
whose address is IV
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
3
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
Connection Charge Paid 4(/ Licensed Drain Layer
issued y
3' Callect�sl
Permit Nee: Paid -Ica
INSPECTION: Check- Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
- (Sig) --
INSPECTOR