HomeMy WebLinkAboutDrain Layers Permit 160 Maskel Road TOWN, OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMIT NO 1804
Pursuant to written applicatior, permission is hereby granted tote L' nsed DraiiAayer named herein to perform
the work indicated below at 4, 0 r
on the
side, between
at premises owned by
v
whose address is ?
and to Lay House Drain, Repair House Drain, Lay-Main, Sher
for occupancy or use
with ZI Family Units, with
acres.
Type of Sewage to beecc nnected under this permit:
SANITARY SEWAGE (!✓`, INDUSTRIAL WASTES_( ), OR ( )
Connection will be made with
Permit to be issued to o
the holder of Drain Layer's License N ermit will expire on 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.
SPEC L COIV)) TIONS C
r
i 4P 1°
Signed / ry
Connection Char a Paid .��
�f; � Licensed Drain Layer
-Tax Collector Issued by
Permit Fee:. Paid /S
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED - (Date)
INSPECTO (Sig)
Exclvating — Septic Systems — Sewer Connections
PIPPIN SEPTIC SERVICE
P.O. Box 53
BROAD BROOK, CONN. 06016
(203) 623-2313
To: ..................
............................Z..1.........................................................I...............................
/..4�........� 5. !'/......� .............
......................I....................
Interest of 1Y2% added after so days.
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