HomeMy WebLinkAboutDrain Layers Permit 1303 Summer Hill Dri TOWN OF SOUTH WINDSOR
, DEPARTMENT OF POLLUTION CONTROL B/P No.: 1 73O
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO 2730
19
Pursuant to written applicatior, permission is hereby granted to th Licensed Drain Layer named herein to perform
the work indicated below aL ti the
side, between
at premises owned by �2�irJ y �
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
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
Connection Charge Paid DD•O U- /o�/a3/ Licensed Drain Layer
Issued by
Tax, �ct/or�� � �����.
0 Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
i
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR