HomeMy WebLinkAboutDrain Layers Permit 15 Ronda Drive (2) " TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT 3215
Pursuant to written applicatior permission is ereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
d' side, betwee
at premises owned by-
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 ( j, INDUSTRIAL WASTES .( ); OR { ) —
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License
The undersigned Drain Layer hereby M f>
thereof. Applicant has received Tom
for street excavation.
SPECIAL CONDITIONS t� fL,+ti _2- �.1h{'_� `^< - %
Q
r�
Signed
Connection Charge Paid 1 OD'o 6 - Licensed Drain Layer
Issued by
Tax Collector
�J Permit Fee: Paid
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)