HomeMy WebLinkAboutDrain Layers Permit 805 Summer Hill Driv TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
•
DRAIN LAYER'S PERMIT 'NO 2993
Pursuant to written,applicat or, Mission is hereby grapfed to the Licensed Drain Layer named herein to perform
the work indicated below at � !� 1�i/yl f on the
side, between,
at premises owned by ITA.(;U I
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-her oby 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 y0 Ooj Licensed Drain Layer
r
314 o � PY=A Issued by
Tax Collector 0:
Permit Fee: Paid $
INSPECTION: Check Number: c9 U
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)