HomeMy WebLinkAboutDrain Layers Permit 707 Summer Hill Driv TOWN OF SOUTH WIN DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut _
List No.:
DRAIN LAYER'S PERMIT N? 2643
19
Pursuant to written app i atior, ermissiorn� is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 7 1 on the
side, bet een
at premises owned by_ a,�-. U7L,&t
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 HD Permit No.`
for street excavation.
SPECIAL CONDITIONS
Signed
COnnection Charge Paid` _ '�� � Licensed Drain Layer
ILL
Issued b
T Co11 cto{� y
Permit Fee:. Paid
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)