HomeMy WebLinkAboutDrain Layers Permit 32 Ronda Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S, PERMIT NQ 2589
19
Pursuant to written applicatio,r�pexmission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at <'
on the
0. side, between
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 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 Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid Licensed Drain Layer
u
&`p,Tax Collector Issued by
Permit Nee: Paid $
INSPECTION: Check Number:
r�
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)