HomeMy WebLinkAboutDrain Layers Permit 1502 Summer Hill Dri TOWN 00
SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.: I
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT ? 2731
19
Pursuant to written applicatior, permyission is hereby granted tol the 4,,icensed Drain Layer named herein to pegfotm
the work indicated below at �� Q ral ! 7i1.�-y1la_l /f 6p ' ' on,the
side, betwgen
at premises owned by " "
i
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for t ,
occupancy or u ,
� .
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
• �l
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 f'
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
u
Signed
Connection Charge Paid -�/00 Q Licensed Drain Layer
��3YL'N:C� Issued by
JTax Collector
Permit Fee: Paid $
INSPECTION: C�eck Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)