HomeMy WebLinkAboutDrain Layers Permit 1075 Pleasant Valley (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT NO 2744
//1 d , 19 .3
Pursuant to written applicatior, permispliqn is hereby granted to the Licens DD in Layer named herein to perform
the work indicated below at G 5— on the
side, between
at premises owned by F . 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 H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection ge Paid (/z ' /1;116111d1j Licensed Drain Layer
Issued by
Tax Collector
�v
Permit Fee:. Paid $ _Z (0),
INSPECTION: Check Number: 0�7
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR