HomeMy WebLinkAboutDrain Layers Permit 180 Norton Lane TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT NO i600
19 �Q
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_ 407 9 422 knezz on the
J 90 0 r V O V% side, between
at pre ises owned by
whose address is r 4 (o
and to _ZLay House Drain, Repair House Drain, Lay Main, � Other
for oe —occupancy or use,
with 0>2)t Family Units, with acres.
Type of Sewage to be connected under this permit-.
SANITARY SEWAGE (P-), INDUSTRIIAL WASTES �.( .), OR ( )
Connection will be made with It
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit an the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.'
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Char e Paid
O CJ _ Licensed Drain Layer
- n -1 s f
11 r�U 2 1 Issued by
tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: SZs _
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR