HomeMy WebLinkAboutDrain Layers Permit 250 Kelly Road TOWN OF SOU 'H WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.: �s
South Windsor, Connecticut
List.No.:
DRAIN LAYER',S PERMIT 507
19"
Pursuant to written applicatioi, permission:is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
—side, between o y
at premises owned b
whose address is
and to _Lay House Drain, Repair House Drain, --Lay-Main, Other
for
- 5 occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this,permit:
SANITARY SEWAGE, ( Xj, INDUSTRIAL WASTES OR
Connection-will be made with <dfuir-q`.Q.�k. � �� #YIYtt
— a.
Permit tQ be issued to In am Now
the holder of Drain Layer's License No. Permit will expire on_ has 20 19
The undersigned Drain'Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse sid
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Sigma-
Connection Charge Paid Licensed Drain Layer
Issued -
Tax Collector
Permit Fee:. Paid
_ INSPECTION: Check Number: ,
INITIAL (Sig)
FINAL
APPROVED ' f J 1r�!: (Date)
-- -- — a (Sig)
INSPECTOR