HomeMy WebLinkAboutDrain Layers Permit 190 Orchard Hill Dri (3) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT N? 768
1
13� Dec. 9
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to-perform.
the work indicated below at -Lot (10) 0=hrid'1 HiU eve on the
side, between
at premises owned by. Lls�r_s Cgfct
whose address is
and to X_Lay House Drain, Repair Douse Drain, Lay-Main, Other
for occupancy or use,
with OR* Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ;( ), OR ( )`
Connection will be made with 8iX IXCh Pal"tic Pipe
' Permit to be issued tp
Ibbsrt L .'Davis
the holder of Drain Layer's License No. W'19 ?0"" Permit'will expire on I � 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 Licensed Drain Layer .
s �
Issued by Frsmk J• :ami t1i
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
6
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR