HomeMy WebLinkAboutDrain Layers Permit 560 Nutmeg Road Nort TOWN Of SOUTH WI N DSOR
DEPARTMEN
T OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT p 3052
z 4 , 19 'r }
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 2ZAP.� 0'4 /JA
on the
side, between
at premises owned by_ J.
whose address is
and to Lay House Drain, Repair House Drain, LaMain,
y Other
for '
occupancy or use,
with Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( j, INDUSTRIAL WASTES .( ), OR
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 1
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
r
Signed
Con;ax
ction Cha Paid r/d L� Licensed Drain Layer
Collector
Issued by
Permit Fee:. Paid $
INSPECTION: Check Number: l�
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)