HomeMy WebLinkAboutDrain Layers Permit 170 Laurel Street (2) r
TOWN OF fIV t DSOR
e �« DEPARTMENT OF POLLUTION-
CONTROL
So'+Windsor, Connecticut
.DRAIN LAYER'S PERMIT
` O2
r •
' 19 .
Pursuant to written application, permission is herebygranted tohe Licensed Drain Layer named herein to perform
the work indicated below at
F on the
dN1ffiLside,-b0tWeen '; s
R,
at premises owned
whose.address is
and to Lay House Drain,-: f>-Repair House Drain,. Lay Main, `Other
for
1 ocoupancy or use.,
"Family Units, with acres..
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIA 11 L WASTES:,.OR
Connection will be made with
• - Permit to be issued to �
the holder of Drain Layer's License No. Permit will expire on - 19
The undersigned Drain Layer hereby-agrees.,to all the termsand conditions set forth on tge permit and the reverse side
thereof. Applicant has received Tgwn Pe_mrt No. and/or C H D Permit No.
.for street-excavation.
SPECIAL CONDITIONS 011111100 OVA*so ballbal
r
r
Signed
Connection Charge Paid V, ,.
License Dr ,, n Layer
Tag Collector
(Sig) Issued by
P rmit F Paid $
INSPECTION:
INITIAL' (Sig)
FINAL (Sig)
ate
(Sig) -
SP C OR _ -