HomeMy WebLinkAboutDrain Layers Permit 54 Pine Tree Lane TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.: r' =
DRAIN LAYER'S PERMIT NO 2066
19 }
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated"below at on the
side, between -
at premises ownedf-
whose address is C
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with r +; Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( , j, INDUSTRIAL WASTES .( ), OR
Connection will be made with
r
Permit to be issued to l <f .' 0�- ('r Z FIy1 QA
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
Connection Charge Paid -`-' j ''
g �;��;� Licensed Drain Layer
l -/ f/ �--�Ssued by �(%!� ?
Tax Collector
Gj U
Permit Fee:. Paid $
INSPECTION: Check Number: s '
INITIAL (Sig)
FINAL (Sig)
APPROVED jvr (Date)
01
INSPECTOR (Sig)