HomeMy WebLinkAboutDrain Layers Permit 61 Ronda Drive -'OWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut h
List No.: ..7
DRAIN LAYER'S PERMIT NO 2013
Pursuant to written applicatior, )ermission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at 4 / 47 on the
side, between
at premises owned by / y
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 ( t j,.INDUSTRIAL WASTES .( ), OR
F j
Connection will be made with
6
Permit to be issued to fTYt Jtf .
the holder of Drain La er's, icepse No.
y �-� . 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 HD Permit No.
^fllBtiECC7FC1�. -;-.
;._ SPECIAL CONDITIONS
Signed/ '1
Connection.Charge'Paid i��r0`� '� /d" icensed Drain Layer
- Issued by _ � ,� ��.•..,�� ,
Tax Collector
Permit Fee:. Paid $ _L-'''
INSPECTION: Check Number: /3
INITIAL (Sig)
FINAL (Sig)
APPROVED ( .'' (Date)
(Sig)
INSPECTOR
N
UP
NOTES SOUTH WINDSOR PO L UTION CONTROL
LOCATION 6 O
OWNER NA
Y-
TYPE OF WORK Q
DATE 3- ~ PE IT PIPE e66
INSTALLER
INSPECTOR DRAWN B
E
.4