HomeMy WebLinkAboutDrain Layers Permit 1101 Summer Hill Dri TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT 'N? 2911
. 19
Pursuant to written ap I catior, permission is hereby granted to the Licensed Drain Layer named herein to perform
1 U
the work indicated below at on the
side, between
at premises owned by 2.(7)
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 und& 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 undeAgned 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 �31 ' Licensed Drain Layer
Issued by
Ta C,ollecto
� .,
Permit Fee:. Paid
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)