HomeMy WebLinkAboutDrain Layers Permit 68 Oakwood Drive (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.:
South Windsor, Connecticut
List No.: &2Q
DRAIN LAYER'S PERMIT0 660
Sept, 26t IW4
g:
, 19
Pursuant to written allplicatior, permission is hereby granted to'the Licensed Drain Layer named herein to.perform
the work indicated below at 6fi �—JOL��./C�cY311 .�.E i,��c" on the
side, between
at premises"owned by * '
whose address is
and to x 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 ( j, INDUSTRIAL WASTES -( , OR ( )
Connection will be made withb
WwRim
Permit to be issued to
the holder of Dr.'ain Layer's License No. Permit will expire on " 19
The undersigned Drain Lager hereby agrees`to'al 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 Licensed Drain Layer,
F*WIssued by L Ja &d�
Tag Collector
Permit Fee:. Paid $
INSPECTION: Check Number: .
INITIAL ' (Sig)
FINAL ,;` (Sig)
APPROVED ;T (Date)
(Sig)
INSPECTOR