HomeMy WebLinkAboutDrain Layers Permit 215 Norton Lane TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut
List.No.: �-
DRAIN LAYER'S PERMIT N? 1598
Pursuant to written applicati pe-r-m7-i-sssiion is hereby granted to the censed Drain Layer named.herein to perform
the work indicated below at_ / C1--.fir-� ,L/n on the
1 ' " Q 1 k CVN side, between -
at premises owned by 7777 1 d4 ?
whose address is
and to �ay House Drain, _ Repair House Drain, Lay Main, Other.
for /I � n �/ occupancy or use,
with ( Family Units, with acres.
Type of Sewage to be connected under this permit: e
SANITARY SEWAGE ( , INDUSTRIAL WASTE ( ), OR ( )
�s r
Connection will be made with
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 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 o C Licensed Drain Layer
4 Issued by
'fad Col ector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)