HomeMy WebLinkAboutDrain Layers Permit 700 Nutmeg Road F TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMITO2
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at`' 1 on the
It side '
at premises owned byl�,I
whose address is
and to _ Lay House Draia, Repair House Drain, Lay Main, Other
for occupancy or use,
with Family Units, with ; acres.
Type oof�sewage to be connected under this permit:
4UkL1TAZX JQA. INDUSTRIAL WASTES, OR
Connection will be made with i$, a Z.
Permit to be issued to -, i 4WM#
the holder of Drain Layer's License No.*00 'O"A Permit will expire on 44 1F 0-�- 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 $At"' " -Licensed Drain Layer
r,l �`• . ''{''i i {Sig) Issued by i ns +74 ,
Tax Collector
Permit Fee: Paid $ w• "'
INSPECTION:
INITIAL¢ (Sig)
FINAL (Sig)
APPROVED !t " (Date)
INY .MR (Sig)