HomeMy WebLinkAboutDrain Layers Permit 80 Robert Drive _ rr�^`�^0:rs�Mv'rn"']'1R9o+yttwr.+iFisT^'wt+b'F""Ty�?�.'v'q�y":'"s'!Rra.Ms•. ..
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT 'NO 2852
19 J
Pursuant to written application,_ rmis lion is.hereby--granted to the Licensed Drain Layer named herein to perform
the work indicated below at Z� l �L' i /Li on the
side, between
at premises owned by l- U' "�✓���
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 holdeq 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. pplicant has received Town Permit No. and/or C H D Permit No.
for stree excavation.
ECIAL CONDITIONS
Signed
4Fonnectio. Paid Q 0 (� (� J ^fj Licensed Drain Layer
.{- Issued by
Permit Fee:. Paid $
INSPECTION: Check Number: ��l
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
r (Sig)
INSPECTOR