HomeMy WebLinkAboutDrain Layers Permit 75 Riverside Drive �- - ,s;^„crs,,-.mac.. raT•=w M ':, ;rx9ts�;;.spi�T,:.a�::��[''4°�+�� 1�,3K� :e.,
TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List.No.: _
DRAIN LAYER'S PERMITp 3483
Pursuant to written app catior, permission is hereby gr ted to the Licensed Drain La named he
dd Yer .rein to perform
the work indicated below at_ -6
on the
side, bet een
at premises owned by S
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
ZInnection Charge aid ,6•-� � Licensed Drain Layer
` Issued by
�a VT
o %� --
ct
Permit Fee: Paid $ _ d
INSPECTION: Check Number: I U6
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)