HomeMy WebLinkAboutDrain Layers Permit 24 Scantic Meadow Ro TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER' S PERMIT N? 2344
aril l , 19�
Pursuant to written 2X4icati r, permission is hereby granted to the icensed Drain Layer named herein to perform
the work indicated below a on the
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 ( ), 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
-CO�� n
19117 Signed
Connection Charge Paid 1QD•Q License Dta' ayer
Issued by
Tax C,�ollect r
�✓ ' L Permit Fee: Paid $ _ Q/LI-00_
INSPECTION: Check Number: aJ
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
N
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION C.i=,
OWNER o A
TYPE OF WORK - ar . S'�' <_ t+ x �77
DATE _ -8/ PERMIT J- ?Yy PIPE G °Pv c_
INSTALLER -p
INSPECTOR C-- DRAWN BY :. L