HomeMy WebLinkAboutDrain Layers Permit 901 Summer Hill Driv TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.: '
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT NO 3010
19 —
Pursuant to written applicatior, permission is hereby grantedto the Licensed Drain Layer named•herein to perform
the work indicated below at 0� i.�.�a, Yy�¢.fi1��C on the
side, between
at premises owned by J-0LL j..t ) ,i .T1k'
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: fi
SANITARY SEWAGE ( ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with
R �
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on
The undersigned Drain Layer hereby agrees to all the terns and conditions set forth onle permit and the reverse si
thereof. Applicant has received Town Permit No. and/or C H D Perii it No
for street excavation.
SPECIAL CONDITIONS r'4
1 x. -
3
Al
Signed
Connection Charge Paid 1/6,.'0 U L' ensed Drain Layer
i1
4 �J�
1r � ;�( tj Issued by 7
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR