HomeMy WebLinkAboutDrain Layers Permit 1205 Summer Hill Dri TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT N? 2899
, 19
Pursuant to written applicatior, permission is hereb granted to the Licensed Drain Layer named herein to perform
the work indicated below at , V.J
tLl
on the
side, bqtween
at premises owned by L
whose address is
and to Lay House Drain, Repair House Drain, La Min
ya , 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 1
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
-
1 ) Signed
onnection Charge Paid w J�3 Licensed Drain Layer
J.
Issued by
�j x Collgctor
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)