HomeMy WebLinkAboutDrain Layers Permit 66 Riverside Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT O 3398
19
"iant to written a lic tior,perm' ion is her by granted to the Licensed Drain Layer named herein to"perfor,
/`indicated below at � r � � V/ �� on th
side, betwee
at premises owned byJ
/ whose address is
!` and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy o;
with Family Units, with acres.
:,. 'hype of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES .( ), OR ( ):
Connection will be made with
Permi6 to be issued tat,:
y Ir
the holdir of Drain Layer's License No. Permit will expire on 19.
The undkrsigned Drain Layer hereby agrees to all.,the terms and conditions set forth on the permit and the reverse si",
thereof.4Ap licantheceived Town.Permit No aid/or C.HD;;Permit' o.
for scree e` `scavac on.as r
SPECIAL CONDITIONS
Sig -
1 nnection Char a Paid 6 D. do-43� Licensed Drain Layer
Issued by
Permit Fee: Paid $ _ !
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
� -
INSPECTOR "(Sig)