HomeMy WebLinkAboutDrain Layers Permit 9O St Marc Circle TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NU 3045
Aw h:Z
, 19
Pursuant to written applicat or, er issonis hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between
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.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( j, 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' 0
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
17�
Signed
Conn ' arge Paid L'� �G / j Licensed Drain Layer
- --- Issued b
or
Permit Fee: Paid $/`� � �,I
&SP-F-CTION:_._ __- _--Che&Number:__ _-2-
-
- — ------- INITIAL _ (Sig)
FINAL (Sig)
(Date)
_ -- -(Sig) - - -
-- - - -- - INSPECTOR