HomeMy WebLinkAboutDrain Layers Permit 115 Hayes Road (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
-List.No.:
DRAIN LAYER'S PERMITS . 713
Pursuant to written applicatior, permission is hereby gkanted to-the Licensed Drain Layer named herein to"perform
the work indicated below at "l9tS 1 on the
Mau+h side, between
at `remises owned b
whose address is
and to Lay House Drain, Repair House Drain, LayMain, Other
for 7I�Q #dytl occupancy or use,
with mily Units, with, acres.
Type of Sewage to be connected under this permit
SANITARY SEWAGE 4W), INDUSTRIAL WASTES .( ), OR
—_ _-Connection_will be made with- -ot"5!�� t
doift of ► r�i 't
Permit to be issued to. Jets
the holder of Drain Layer's Lleense No '� : Permit will expire on �►' 19 `�i,
The undersigned Drain Layer hereby agrees'to all.the'terms and conditlbiix?iet 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 '0+"4 Licensed,Drain Layer
MWA Issued by Jlo
Tax Collector
-.'Permit Fee:. Paid -- -_i ce
INSPECTION: -Check Number: ,
INITIAL (Sig);
FINAL
_ (Sig) . -
APPROVED (Date)
- INSPECTOR' (Sig)