HomeMy WebLinkAboutDrain Layers Permit 46 Riverside Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMITS 3389
Pursuant to written app icatior, per I Lgks-ion is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_ .� �'/ O f y j0 d 04S on the
side, betwe n
at premises owned
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 ( jINDUSTRIAL 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
i 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-stfeet exclavat'ior-�..-—
SPECIAL CONDITIONS
3
Signed
onnection Charge Paid 8 Licensed Drain Layer
Collector
Issued by
x /,
Permit Fee: Paid $ L lPL/b 0 �I
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR