HomeMy WebLinkAboutDrain Layers Permit 555 Nutmeg Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
6 IL
List.No .
DRAIN LAYER'"S PERMIT NO 1925
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ` f� ..7�c �1�} yy�t r. jc ;"i �� on the
side, between
at premises owned by i`i �7t i"t ,<; f i'1 o '`;t° ( r ' i t.
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for r=z - : "m occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE,Wj0-)-; INDUSTRIAL,WASTES .(,j OR ( )
Connection will be made with �l '� .tr __.-
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��r,•/
Connection Cfiarge Paid :`> ' '( ) ;/ ,iLieens'ed Drain T ayer
Issued by .(y .ice. iA "
Tax Collector
Permit Nee:. Paid
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED ' 7, I , -) `j (Date)
(Sig)
INSPECTOR