HomeMy WebLinkAboutDrain Layers Permit 132 Rockledge Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT p 3292
1,34 goCkUctae, br P jj), �(4 19
Pursuant to written ap licatior, permis is hereby granted to the Licensed Drain Layer named herein to perform
'on
the work indicated below at �J(. u I(A � o-71 S on the
side,2etwn
at premises owned by
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
i
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 PermirNo. - - and/or C-H D-Perm— it No.
for street excavation.
SPECIAL :CONDITIONS
Signed
4jac,t
ion Char a Paid D Licensed Drain Layer
Issued by
Col
c n A ,�
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
A