HomeMy WebLinkAboutDrain Layers Permit 80 Lewis Drive TOWN OF SOUTH WI N DSOR '
DEPARTMENT OF POLLUTION CONTROL gip No.: _ 64
South Windsor, Connecticut �31
List No.: _
DRAIN LAYER' S PERMIT N? 892
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 80 Lewin Dive on the
31Qr+j1 side, between Ord mad
at premises owned by ANJIM10 SCAVOtts
whose address is 8el�e
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for madde31ital occupancy or use,
with OR* Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with mdLx inch p1gan _in Xd_;W
Permit to be issued to - Adam W1wiew*1
the holder of Drain Layer's License No*o_W_ 6559 Permit will expire on 10 A t 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit-and the reverse sidde
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signe 1
Connection Charge Paid 7/09)" Licensed Drain Layer
# 822 Issued by •K TiWft rrieud
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR