HomeMy WebLinkAboutDrain Layers Permit 45 High Ridge Road (2) TO OF SOUTH VINDSOR ,
#DEPARTMENT OF POLLUTION CONTROL
South Windsor, Cofine0icut
DRAIN LAYER'S PERMIT t
N°. 301
19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to the work indicated below at perform,:
Y
:,
side, between on the-
at premises owned by
whose
and to -may House Drain, Repair House Drain,
Lay Main,
for Other
I �`
ez
with occupancy or use,
` Family Units, with
Type of Sewage to be connected under this permit: acres.
SANITARY SEWAGE;
1 1* INDUSTRIAL WASTES, OR
Connection will be made with
Permit to be'issued to
the holder of Drain Layer's License No.
The undersigned Drain Layer hereby agrees to all the terms-and conditions s tlfor h on he permit and the reverse sexpire on ide
a n'
thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL COND TIONS
Connection Charge Paid $ �-�• Signed �
Licensed Drain Layer
if
* ' F '1.7
Tax Collector r� (Sig) Issued b _,. h-k. P
Permit Fee: Paid Y4.c.
INSPECTION:
INITIAL
(Sig)
,. FINAL
(Sig)
_APPROVED - ----- ----- -- (Date)
(Sig)