HomeMy WebLinkAboutDrain Layers Permit 701 Summer Hill Driv RIMINI
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT N0 2522
L 1---� .19 Z
Pursuant to written applicatior, permission is hereby ranted to the License Drain Layer named herein to perform
the work indicated below at 7 G/ on the
side,betw
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 ( ), INDUSTRIAL WASTES .( ), OR
Connection will be made with
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
Connectio arge Paid k� � Licensed Drain Layer
0 Issued by
ax Collector 1
Permit Fee:. Paid $
INSPECTION: Check Number: 2�
INITIAL (Sig) _
FINAL (Sig)
APPROVED (Date)
(Sig)
1
INSPECTOR