HomeMy WebLinkAboutDrain Layers Permit 432 Oakland Road -77
TO' VN i?'OF SOUTH WtNt)SOR
DEPARTMENT OP-POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT NO a-yl
k
1 i9
Pursuant to written applicati r permissio is he Deb granted to the icense Drain Layer named herein to perform
y the work indicated-below at
�
on the
side, betvkeen
at premises owned
whose address is
and to _Lay'House Drain, -Repair House Drain,
Lay-Main; Other
for
occupancy or use,
with Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), 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 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 ~
11 to 5( Signed
Connectioaa,Eharge Fi3id Licensed Drain Layer
Issued by
a Collect
s or
Permit Fee:. Paid $ ._
M INSPECTION: Check Number:
INITIAL �7 8
(Sig) A ,
3 FINAL
(Sig)
APPROVED (Date)
Y O
(Sig)
INSPECTOR