HomeMy WebLinkAboutDrain Layers Permit 129 Kent Lane (2) f UWIN yr SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut BAP No.: _
List No.: _
DRAIN LAYER'S PERMIT 2241
Pursuant to written applicatior, permission is hereby ranted to the Licensed Drain Layer named herein to perform
the work indicated below at �64 pion-{ NLo
on the
side, between
at premises owned by Tfi m S d
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:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. Permit The undersigned Drain Layer hereby agrees to all the terms and conditions set lforth on he permit and the reverse side
thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS
i 70
�a1
�1146( Signed
Connection Charge Paid
Licensed Drain Layer
a
�rp Tax Collector Issued by
6 d
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL
(Sig) T+
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)