HomeMy WebLinkAboutDrain Layers Permit 102 Highland Drive (2) TOWN OF kOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL s
South Windsor, Connecticut
70 DRAIN LAYER'S PERMIT NO 237
19 '?
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to per , r
the work indicated below,at ' "` t on the
VIM side, between V* i 11!
at premises owned by Go odyw
whose address is am*
and to Lay House Drain, Repair House Drain, Lay Main, Other
for SP[l 0k" occupancy or use,
with one 0 Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
_ - Connection-will be made with _ Id
Permit to be issued to 9e'9�,,,v
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.
SPECIAL CONDITIONS %*ft &WW to VMS Rt'* so 4
26 Signed '
Connection Charge Paid 83� icensed Drain Layer
- 1W (Sig) Issued by uAwfto
Tax Collector
Permit Fee: Pai 01119* e$ #
AVA
INSPECTION: ""�"""1e"'
INITIAL (Sig)
FINAL (Sig)
.APPROVED �� �� � (Date)
(Sig) -
SPECTOR