HomeMy WebLinkAboutDrain Layers Permit 1403 Summer Hill Dr UWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT .Np 2954
Pursuant to written a plicatior, permission is he eby gr nted to the Licensed D in Layer name therein to perform
the work indicated below at b3
on the
side, b4tween
at premises owned
G1 C
whose address is
and to Lay House Drain, Repair House Drain,
Lay Main, Other
for
with Family Units occupancy or use,
, 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
1
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.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS
r•-
Signed
Connection Charge Paid
Licensed Drain Layer
t F J-,'2 - Issued by
ax Collector ,OkA
J yU�. �
Permit Fee: Paid $t:i 0 U
INSPECTION: Check Number:/ '
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR