HomeMy WebLinkAboutDrain Layers Permit 44 Lewis Drive • TOWN OF SOUTH' WI N DSOR �M y
DEPARTMENT OF POLLUTION CONTROL B/P No.: 25 I
South Windsor, Connecticut
List.NO.: S-".c!(C 3
DRAIN LAYER'S PERMIT NO 871
1 P June 119
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 41f LF•tri:; i'-:^j vp Lo i 2.1) on the
- no-th, side, between__ 'r cr—t q Si
i i*^h +
at premises owned b "
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for rcn,it1ential
occupancy or use,
with one (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (,( ), INDUSTRIAL WASTES ( ), OR
Connection will be made with_rix—inch a-1 vent jot n T,n ns i c l2j pe. to n lnteM !M0Xrq ,r,
Sta 5+22, at a clentli of 6.5'.».
Permit to be issued to a^' `'. Wirninw^ki
the holder of Drain Layer's License No. 49-206559 Permit will expire on 14� Au{?tz!,-jt 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
Signed
Connection Charge Paid o6-.'1 Licensed Drain Layer
acc:-t Wo. 50` Issued by Frnxlk J. ;Mitt'
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)