HomeMy WebLinkAboutDrain Layers Permit 65 Highland Drive - TOWN OF SOUTH 'WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
no,a
DRAIN LAYER'S PERMIT X? 143
19
--?2
Pursuant to w'ritteh.�application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at to
i,ir]..,ut_� on the
side, between
::s.wws ws-a.
at premises owned by— AAwaump- IL
whose address is_�
and to —J, Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy occupancy or use,
'with— q Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, X. X INDUSTRIAL WASTES, OR
Connection will be made wth . � ., ue
Permit to be issued to *fps
the holder of Drain Layer's License No. Permit will expire on 19
The undersigned Drain Layer hereby agrees toa a terms and conditions set forth on the p�erm n ie reverse si
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation. _
SPECIAL CONDITIONS
Signed , ` t > .:. ems,,•..,„ .,
Connection Charge Paig Licensed Drain Layer
(Sig) Issued by it' # Jr.
Tax Collector
Permit Fee: Paid $
INSPECTION: GWilk 1000421 ft*O& 11*110-7a
INITIAL (Sig)
FINAL ": (Sig)
APPROVED o 1 (Date)
16
-- - — - (Sig)
;r .INSPECTOR