HomeMy WebLinkAboutDrain Layers Permit 1302 Summer Hill Dri TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO 2>844
S / 19 "
Pursuant to written applicatior, permission hereby granted to th Licensed Drain Layer named herein to perform
the work indicated'below at G Z-" on the
side, bet,
at premises owned by —
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 be connected under this permit:
SANITARY SEWAGE ( j, INDUSTRIAL WASTES .( ), OR
Connection will be made with
!r ,i
�k
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 19 j
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. ll.
for street excavation.
SPECIAL CONDITIONS
Signed
Connectio arge Paid 7 S � j Licensed Drain Layer
" Issued by
ax Col ector
Permit Fee: Paid $
INSPECTION: Check Number:
INI.TIAL _ (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR