HomeMy WebLinkAboutDrain Layers Permit 50 High Ridge Road (2) . ; SOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT
p 283
' 19--
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to erform
the work indicated below at P
... ..side, on the
_1111001-
at premises owned by
whose address is
and to _ LL,ay House Drain, Repair House Drain,
Lay Main, Other
for
with occupancy or use,
Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGI INDUSTRIAL WASTES, OR
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No.
- Permit willThe undersigned Drain Layer hereby agrees to all the term and conditions s t. forthexpi on lyjW
forth on the permit and the reverse -side
thereof. Applicant has received Town-Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS ' ,
Connection Charge Paid. Signed
Licensed Drain Layer
Tag Collector,
(Sig) Issued by..
Permit F e: _ Paid $ _
INSPECTION:
INITIAL
(Sig)
FINAL
(Sig)
APPROVED
(Date)
r INSPECTOR (Sig)