HomeMy WebLinkAboutDrain Layers Permit 905 Summer Hill Driv �_.*5 ' y -.+�.nr..n,r._ v'..-... .e.,-.�..-r.'•..v.,v-ae�-�r..,;i"".�,'�w,�.a' ��,'yJ�tF�;., _ .. _-
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT 0 3144
idif). Jr , 19 1;(/
Pursuant to written applicatior, p rmission is r�eJby granted to the Licensed Drain Layer named herein to perform
the work indicated below at �� /tl�lG?�1CC�YJl�1/ C/./�J/l/J�NN on the
side, bet en
at premises owned by � � uZ 11 p C( 9l
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 { ), 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-Ptceived Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid Q Q(, Licensed Drain Layer
Issued by
Tax Collector
Permit Nee: Paid $
INSPECTION: Check Number: �( ��
INITIAL
FINAL _ (Sig)
APPROVED (Date)
(Sig)
INSPECTOR