HomeMy WebLinkAboutDrain Layers Permit 413 Pleasant Valley TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT0339
42 , 19�
Pursuant to written applicatior, permis;s n s hereby granted t the Licensed/�ra�i Layer named herein to perform
the work indicated below atV13 K-�,% on the
side,,betw
at premises awned 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:
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
Connectio e Paid Licensed Drain Layer
Issued by
ax Collector
Permit Fee: Paid $
` INSPECTION: Check Number:
INITIAL' (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR