HomeMy WebLinkAboutDrain Layers Permit 48 Margaret Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT O 3258
19
Pursuant to written a licatior, permmissiioon. is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 6 on the
side, between
at premises owned b - S c
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit: k,.
SANITARY SEWAGE ( j, INDUSTRIAL WASTES .( ), OR
Connection will be made with -
Permit to be issued to
3
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 ;
)5:59
1 /, q-2-7-d� Signed
C nnection Charge Paid'y �(/• b Licensed Drain Layer
_ - -- - Issued by �.
_ x Collec //
Permit Fee: Paid $ ( _
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR