HomeMy WebLinkAboutDrain Layers Permit 809 Summer Hill Driv TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT O 3233
19
Pursuant to written app icatior, ermission is ereby granted to he Lice{n�sed Drain Layer named herein to perform
the work indicated below a m/K.(it _
on the
side, between
at premises owned by
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:
z
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
L Signed
Connection Charge Paid (1 y Licensed Drain Layer
Issued by
- ax Colleqqor �
� Permit Fee: Paid $
INSPECTION: Check Number: •1
INITIAL } (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR