HomeMy WebLinkAboutDrain Layers Permit 243 Quarry Brook Dri TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER"S PERMIT NO 1575
28 119 7
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at � ZO 9 �u1 �ia y on the
--,--C,�s�-�� side, between
at premises o �ne by
whose address is '
and to Lay House Drain, Repair House Drain, -Lay in, Other
,
for
�-"'�-.�' occupancy or use,
with 4Qj jq Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIIAL WASTES ( ), OR ( )
Connection will be made with 4
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on /Q_C,o 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse sidde
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Connection Charge Paid rzZj- 2 Signed License rain JaCyer s
a Issued by
Tax Collector
Permit Fee: Paid $ _ `
INSPECTION: Check Number: � �
INITIAL (Sig)
FINAL (Sig)
APPROVED — Z 73;1 (Date)
(Sig)
INSPECTOR
EASTERN SEWER PIPE CORP.
3320 BERLIN TURNPIKE s NEWINGTON,CONN.06111 PHONE(2031 666-5634
I
3
(
1 %
f>