HomeMy WebLinkAboutDrain Layers Permit 125 Hillside Drive TOWN l OF SOU-CH WINDSOR
DEPARTMENT OF -POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.:` nnn
S—• �a�9
DRAIN LAYER'S PERMITO 574
y No2419
� .
I ursuant to`written applicatior;permission is hereby granted-to the Licensed Drain Layer named herein to"perform
the"work indicated below at I I1 I �L O% '7�� on the
iI side, between i '•' �. •A t :`_�
at pregmises owned 13
whose addrerss is i S ,
and to Lazy House Drain, Repair House Drain, Lay Main, Other ,
for s.. occuparlCy`or use,
with. .Family Units, with acres.
Type of Sewage to be connected under this•permit:
SANITARY SEWAGE �'), INDUSTRIAL BASTES .( ), OR •(, )` ,
Connection�rll-lie-made.ivrth
Permit to be issued to `•�� ,1
,the holder of Drain''Layer's License No. p Perfnirwill e$pire'on
The undersigned Drain Layer Hereby a' ees rp 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 stteet excavation: x ,
SPECIAL CONDITIONS
i
" � n�, r . ,'`.Signed t • _ ., a'd
Connection Charge Paid 3- •' Licgnsed Drain Layer, -
i,�► � Issued by
ITag CollecEoi['
Permit Fee:. Paid $4 rr
- - Check Num6et: ;
INSPECTION• _..
•
INITIAL 43, : . ` M f; (Sig)
JAF
APPROVED (Date) - - -
ti.
Sig)
INSPECTOR
N
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK f✓✓ � Lam,
DATE 7 PERMIT PIPE ,VGI.-
INSTAZUR
INSPECTOR s DRAWN BY Rj