HomeMy WebLinkAboutDrain Layers Permit 60 Mohegan Trail (2) y TOWN O S. �ITM �lV I N DSOR
.
DEFARTM I T OF 'POLLUTION CONTROL
$%P No.:
South Windsor, Connecticut
List.No.: _
DR AIN.. LAYR' ,' 'ER;MIT a
1 . '703
to A!t�19-
Pursuafit to Written application,permission is hereby granted to the Licensed Drain''Lisyer named herein to perfdfu►
tl&,work indicated below 4t&2^4k4An1'IA6i 011.- at ov � F } on they'. .
side, bet..Ween ;
` at:premises.owned by. Wa*t9t Jrf ► �,Q f �► "' ;
whose address is
' and to Lay'House Drain, Repair House Drain, Lay-Main, Other
for
.
r occMpancy of use,
'with, + $ Family`Units, "with acres.
Type'of Sewege'to be connected under this permit= "
SANITARY SEWAGE ( �, INDLTSTRiAL WASTES .( ); OR ( ).
R ,
Connection will be made with � � "� ' +� r"
Permit to be issued to � a .
the holder.of Drain Layer's License No. ' '� '� Permit;will.egpue•on; + 6 19
' The undersigned'-brain Layer hereby agrees to all the•terms,and,condition's set 5f=orth, on ti'he permit and the reverse side.
;. ." thereof. App'liieant has received Town Permit No. and/or C HyD Permit No.
for. street excavation.'
'SPECIAL CONDITIONS
Connection Charge-Paid F � 'L.ieensed,Drain Layer
err ► " �s
- Issued by -
Tax Collector
Permit Fee: Paid
INSPECTION:' Check Number: ,
INITIAL "' (S1B)
'FINAL :" s ' -�1'•` '
(Sig)
t. 0
APPROVED_ ��t; 1�✓ (Date)
'
s INS OR, (Sig)
- a'