HomeMy WebLinkAboutDrain Layers Permit 269 Skyline Drive TOWN OF SOUTH WI N DSOR b
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER' S PERMIT N? 816
4_P_?5 , 19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Lot
on the
side, between //�'
at premises owned by A 4 Ap vro sd. � 4AN A
whose address is Sskme!
and to y Lay House Drain, Repair House Drain, Lay Main, Other
for -' Pit 1-,*)at i M1 occupancy or use,
with :'-10% Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES .( ), OR
Connection will be made with e•ix Trtch "14rtti c .Pine
Permit to be issued to I'ronci8 Pi ratio
the holder of Drain Layer's License NM—n-po6/070 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
Signet
Connection Charge Paid 753 Licensed Drain Layer
x—�r/r7S Issued by frrnk J. 'M t}':
Tax Collector
Permit Fee: Paid $ 15•00
INSPECTION: Check Number: 14
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)