HomeMy WebLinkAboutDrain Layers Permit 71 Quarrybrook Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut S,C,a�9S
List.No.:
DRAIN LAYER'.S PERMIT 1023
18 December , 19 7
Pursuant to written applicattor, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at �'.ptsz�rYy B etc.i�n on the
rre ithside,.between
at premises owned by
whose address is
and,ro-•X_Lay,House Drain, Repair House Drain, Lay-Main, Other
,
for rea4d6nt+a
occupancy or use,
with one (1) Family Units, with acres: -
Type of Sewage to be connected under this permit:
SANITARY SEWAGE O; INDUSTRIAL WASTES 'OR ( ' j
Connection will be made with Si,r.jneii [kl) nlraa}ice;
Permit to be issued to y� i,"orAv
the holder of:Drain Layer's License No., WQ};n5gjA Permit will'expire-on 1.8 Febrnary 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 Charge Paid 12«18«'�S Licensed rain" ayer
=Bid. it 921 Issued by Fvmnk• T_ Em3-th
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: 2435�_
INITIAL (Sig)
FINAL (Sig)
APPROVED .:I,D (Date)
ECTOR (Sig)
b-