HomeMy WebLinkAboutDrain Layers Permit 94 Hayes Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER"S PERMIT 10 3345
2 19V ,
'Pursuant to written applicatior, ermission i ereby gr ted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between
at pramises owned bu
whose address is
and to Lay House Drain, Repair House Drain, Lay"Main, Other
for occupancy or use,
with Family Units, with acres.
t:
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 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.
a' SPECIAL CONDITIONS
Signed
Connection Charge Paid Licensed Drain Layer
Issued by
h Tax Collector 3
VJ ,oy
Permit Nee:. Paid $
INSPECTION: Check Number: ?
INITIAL (Sig) w
FINAL (Sig)
APPROVED (Date)
(Sig)
1 INSPECTOR