HomeMy WebLinkAboutDrain Layers Permit 1202 Summer Hill Dri TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List.No.: _
DRAIN LAYER'S PERMIT N� 3145
19 �(
Pursuant to written applic�aytior, perm.ssion is hereby granted
t�o the Licensed Drain Layer named herein to perform
the work indicated below at lo`O c� ��GI�Q �iTi on the
side, bet en
at premises owned by C—
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 received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid 1100.63 Licensed Drain Layer
Issued by
• Tax Collector
Permit Fee: Paid $ _--'��I n``0ll
INSPECTION: Check Number: - �� V
INITIAL (Sig)
_ FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR