HomeMy WebLinkAboutDrain Layers Permit 633 Rye Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT N? 2491
19 Fa
Pursuant to written applicatior, per fission is ereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 33 on the
Side, b ween
at premis( d by Rout E a i s
whose address is
i
and to Lay House Drain, Repair House Drain, Lay Main, ther
r
for1177 occupancy or use,
with Family Units,-with acres
Type of Sewage to be connected under this permit:
SANITARY SEWAGE A), INDUSTRIAL WASTES (p), OR ( )
Connection will be made with /J rr O V r ' r�
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 J -1, )0 ! 0 ,
Connection Charge Paid Licensed Drain Layer
Issued by
Tax Collector ��-
Permit Fee: Paid $ _ �—pt
INSPECTION: Check Number: q 9 q—
INITIAL (Sig)
FINAL (Sig)
APPROVED-- 2 (Date)
(Sig)
SPECTO