HomeMy WebLinkAboutDrain Layers Permit 51 Paper Chase Iiy+aRt. pop
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT 3512
19
Pursuant to written applicatior, permission is.19reby granted t the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between
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�'bconrnected`under this permit:
SANITARY SEWAGE ( INDUSTRIAL WASTES .( ), OR
Connection will be made with
114
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
Signed 00, 64t4l-V,"J�'
Connec ' harge Paid OZ ,� L' en d Drain Laye
- Issued by '
Tax Collector
Permit Fee: Paid $ AS
INSPECTION: Check Number: y
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
ti INSPECTOR