HomeMy WebLinkAboutDrain Layers Permit 35 Skyline Drive TOWN, OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: ;��+os
DRAIN LAYER'S PERMIT p
T. 977
19
Pursuant to written applicatior per ission i her granted to the Licensed Drain Layer named herein to:perform'
. - ice" � '
{ the work indicated below at - lot a ) on the
Meat side, betweeMiSh Street and IBC=& Ind "ate
r
at premises owned by-Paltraw Affmatatts
whose address is
and to ---&Lay House Drain, Repair House Drain, Lay-Main, Other •
for 7E"!t8{td�lt ]. _occupancy or use,
with *A* M Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (2), INDUSTRIAL.WASTES .( ), OR ( )
' Connection will be made with Aid"n ah (01) ai t$a min.
Permit to be issued to ftl.AA3I a t1111
the holder.of Drain Lalyer's License,No. Permit will expire on TA ?Jae r 19 .
' The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the per and the reverse sid46
thereof. Applicant has received,Town Permit No. and/or C HD Permit No.
for street excavation.
SPECIAL CONDITIONS'
Signed
Connection Charge Paid t +* +r" Licensed Drain Layer
lot Issued by HV4V'"jJL j9 Aa, or. .
Tag Collector
Permit Fee:: Paid$ _'� '
INSPECTION: Check Number:paatM A VA .
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR