HomeMy WebLinkAboutDrain Layers Permit 1102 Summer Hill Dri TOWN OF SOUTH WIN DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No :
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO F3011
Pursuant to written,applicatior, permission is hereby granted to 4e Licensed Drain Layer named herein to perform
the work indicated below at II L? %.1/.�Z'r;Y1f :' / LL�F' on the
side, bet�een
at premises owned by_1-t-. ' �in.1,Q01 1.4 PA4 t
whose address is t
\ 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 IN
the holder of Drain Layer's License No. Permit will egpjie on
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on;'t'he permit and the reverse sidek,
thereof. Applicant has received Town Permit No. and/or C H`D Permit No.
for street excavation.
SPECIAL CONDITIONS41
,
Sign
Connection Charge Paid Li ensed Drain Layer
Issued by
F fax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: M,,`5 �-
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR