HomeMy WebLinkAboutDrain Layers Permit 34 Northview Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
6 el-13
DRAIN LAYER ' S PERMIT NO 38
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Y- +t, r r' a.e.' �� �„ . , " �. /S� on the
t
side betweenl.
, ��,.. .��
at premises owned b gcj- J
whose address is .�<I t `tt,r t ,< ,, - ,jr
and to A Lay House Drain, Repair House Drain, Lay Main, Other
for t+ • €L-- .., r I s;L occupancy or use,
with t-4ei4� @ 3y Family Units, with 00 410 to acres.
Type of Sewage to be connected under this permit:_
`S. RYSEWA.. INDUSTRIAL WASTES, OR
Connection will be made with f ${ A#,1791' lliofo
Permit to be issued to +��n.a � f-A, ,. ,;r.; z;q
the holder of Drain Layer's License No. Z 1c l; 7<" Permit will expire on,t;, 7N a t�`r</ r7 19 t.,
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 $+r }, .ram Licensed Drain Layer
S tF :4'4F tt N •+ o f 3
_�'°� (Sig) issued by
Tax Collector
Permit Fee: Paid $_ ' , r_y ik
INSPECTION: P tt af, v ps.
INITIAL (Sig)
FINAL (Sig)
APPROVED: E �rrrej (Date)
#iC u'� tee ira�iF'tQ (Sig)
INSPECTOR