HomeMy WebLinkAboutDrain Layers Permit 171 Jacques Lane N OF SOUTH W 1 N DSOR
TOWN .
1 DEPARTMENT OF POLLUTION CONTROL B/P No.: i
South Windsor, Connecticut List.No.: _-----
DRAIN LAYER'S PERMIT NO 3 D
19 3
1 1 ��(�' Licensed Drain Layer named herein to perform
11
erm ion 1 reby granted to th
ursuant to written applicati r, n on the
hk indicated below at
side, bets
'ses owned by
address is Other '
Re air House Drain, Lay Main,
Lay House Drain, P occupancy or use,
nv 'acres.
�. Family Units, with
e CQ be connected under this permit:
Type of Se wag
INDUSTRIAL WASTES ITARY SEWAGE ( 1
( ), OR ( }
necuon w%xl 15e—,made with-
Permit to be issued to
Permit will expire on ver 'side
he holder of Drain Layer's License N
he undersigned Drain Layer hereby y rees to all the terms and conditions sec forth on therpoermit and ti
mit
Permit No.
thereof. Applicant has received Tows
and/or C H
Ifor street excavation. r'
j SPECIAL CONDITIONS
i
I
Signed
� � 2 Licensed Drain Layer
Conne ' n Charge Pai
Issued by CI
Tax Collector Permit Fee: Paid $ --l
INSPECTION:
Check Number:
(Sig)
INITIAL (Sig)
FINAL - - (Da_te)
APPROVED
(Sig)
INSPECTOR