HomeMy WebLinkAboutDrain Layers Permit Schweir Road (4) .. TOWN OF SOUTH -WI N DSOR
,EPARTMENT OF POLLUTION CONTROL
A South Windsor, Connecticut
x -
DRAIN LAYER'S PERMIT ; 119
19
22
Pursuant to written application, permission is hereby granted,to the Licensed Drain Layer named herein to perform
the work indicated below at on the
-000 sid
at premises owned by
whose address is
- -= and.#s� 1 §e.Drain;-- Aepau H use ran., )*.a;r
for occupancy or use;
with Familyr Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE; INDUSTRIAL WASTES, OR
Connection will be made with
Permit to. s$ued'toIM ..
the holder of Drainr YLayer's License No: _ Permit'will expire,on 19
_
The undersigned P aitr:Layer hereby agrees to all the terms and conditions.set forth on the per e�rse sid€"'
thereof. Applican ha received Town Permit No. . and/or C H D Permit No. .
-.fot streeV excal ati h -
SPECIAL t04DITIONS
Y:-
^� Signed lj
?`Connection.Charge iPkid'S n Licensed Drain Layer`
_vn• �� ' (`Stg) Issued by
_.s
Tax Collector;
Permit Fee: Paid
INSPECTION
INITIAL "". . (Sig)
FINAL �,r4 (Sig)
APPROVED (Date)
(Sig)
INSPECTO