HomeMy WebLinkAboutDrain Layers Permit 57 Murray Road we TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.: _
List No.:
DRAIN LAYER'S PERMIT NO 960
13 O .inhrsr 1 g 75
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at eelMU Rd C L.T 1 2
on the
side, between
at premises owned by 1441z
whose address is e
and to X Lay House Drain, Repair House Drain La Main,, Other
for residential ,
• occupancy or use,
with One Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (x), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with eix inch plastic bigg
Permit to be issued to Will
the holder of Drain Layer's License No._ D6440 Permit will expire on 1� j�c�p�er 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 10108175 Licensed Drain Layer
873 Issued by M. Timothy Friend
Tax Collector
Permit Fee: Paid $ _ 2 e ��
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR