HomeMy WebLinkAboutDrain Layers Permit 115 Pine Knob Drive (2) TOWN- OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT Np 7
27 i
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
zo side, between_ A le Tria Law jd V"r
at premises owned by la Ahab tog
whose address is liB
and to 2 Lay House Drain, Repair House Drain, Lay Main, Other
for r".'�0"' Ala occupancy or use,
with • Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE at), INDUSTRIAL WASTES( ), OR ( )
Connection will be made with fi2r-.tr,-A—_(601 Jdamt1d jdq2 ta_a Imits2l Mks at&, 44jw• mt_8—
d tk of 6.0r+s
Permit to be issued to J*b12 As
the holder of Drain Layer's License No. 't . Permit will expire on0,7 NTWIUArY 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
f
Signed
Connection Charge Paid '11. •+ Licensed Drain Layer
Peg tli t ft. Issued by
Tax Collector
Permit Fee: Paid $ _+•_ C 0
INSPECTION: Check Number:
INITIAL ' 1 (Sig)
I. f (Sig)
APPROVED 1 / (Date)
r `
(Sig)
INSPECTOR